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Minnesota rates for HCPCS 86695

Antibody; herpes simplex, type 1

Facilitymedian $49 · 10th–90th $13–$1050%10%10th90th$49Professionalmedian $12 · 10th–90th $10–$360%20%10th90th$12$2.0$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
$12.02 / $70.79 / $275.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.02 / $81.28
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $95.50
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $13.18 / $13.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $48.98 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $19.50 / $25.70
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $41.69 / $87.10
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $25.70
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $45.71 / $104.71
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $16.22 / $102.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $13.18 / $15.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $13.18 / $29.51