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Missouri rates for HCPCS 86695

Antibody; herpes simplex, type 1

Facilitymedian $23 · 10th–90th $13$790%10%10th90th$23Professionalmedian $17 · 10th–90th $8$440%10%10th90th$17$1.0$5.0$20.0$100.0$500.0

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
$14.79 / $22.91 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $17.38 / $43.65
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $6.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $45.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $11.22 / $33.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $26.92 / $29.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $24.55 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $12.59 / $33.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $22.91 / $81.28
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $7.94 / $15.85
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $13.18 / $16.22
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $7.94 / $15.85