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Michigan rates for HCPCS 86695

Antibody; herpes simplex, type 1

Facilitymedian $15 · 10th–90th $12–$580%20%10th90th$15Professionalmedian $12 · 10th–90th $10–$230%50%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
$11.75 / $15.85 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $11.75 / $23.44
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $9.12
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $15.14 / $26.30
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $10.00
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $13.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $14.79 / $19.05
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $16.98 / $58.88
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $15.14 / $26.92
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $10.47 / $16.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $13.18 / $13.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $10.96 / $15.49