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Maryland rates for HCPCS 86695

Antibody; herpes simplex, type 1

Facilitymedian $65 · 10th–90th $10–$910%10%10th90th$65Professionalmedian $12 · 10th–90th $9–$230%50%10th90th$12$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
$12.30 / $64.57 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $11.75 / $22.91
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $10.47 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $9.12 / $16.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $12.59 / $32.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $15.14 / $25.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $5.50 / $9.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $7.76 / $12.30
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $9.12 / $19.95