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Indiana rates for HCPCS 86695

Antibody; herpes simplex, type 1

Facilitymedian $29 · 10th–90th $13$1350%10%20%10th90th$29Professionalmedian $12 · 10th–90th $9$230%50%10th90th$12$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $48.98 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $11.75 / $22.91
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $9.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $39.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $6.46 / $13.18
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $13.80 / $16.98
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $13.18 / $15.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $13.18 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $11.75 / $32.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $13.18 / $13.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $8.51 / $14.79