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Louisiana rates for HCPCS 86695

Antibody; herpes simplex, type 1

Facilitymedian $29 · 10th–90th $14–$740%10%10th90th$29Professionalmedian $12 · 10th–90th $9–$190%20%10th90th$12$5.0$10.0$20.0$50.0$100.0

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
$15.14 / $33.88 / $74.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $11.75 / $18.20
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $6.17 / $13.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $26.30 / $48.98
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $14.45 / $26.30
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $37.15 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $8.71 / $15.14
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $13.18 / $16.22
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $7.59 / $18.62