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Massachusetts rates for HCPCS 86695

Antibody; herpes simplex, type 1

Facilitymedian $43 · 10th–90th $18$980%10%10th90th$43Professionalmedian $12 · 10th–90th $10$260%50%10th90th$12$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$22.91 / $47.86 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $11.75 / $23.44
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $18.62 / $81.28
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $13.18 / $32.36
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $32.36 / $51.29
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $16.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $20.89 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $15.14 / $34.67
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $104.71 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $22.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $36.31
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $17.38 / $131.83
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $18.62 / $81.28
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $13.18 / $32.36
Tufts
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $13.49 / $20.89
Tufts
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $13.49 / $19.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $13.18 / $19.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $10.96 / $35.48