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North Carolina rates for HCPCS 86695

Antibody; herpes simplex, type 1

Facilitymedian $58 · 10th–90th $13–$1120%5%10%10th90th$58Professionalmedian $12 · 10th–90th $10–$230%20%40%10th90th$12$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
$12.59 / $58.88 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $11.75 / $22.91
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $9.12 / $9.12
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $56.23 / $56.23
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $9.33 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $27.54 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $9.12 / $20.42
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $28.84 / $34.67
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $12.02 / $25.70
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $104.71 / $117.49
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $114.82 / $239.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $13.18 / $22.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $9.12 / $18.62
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $81.28 / $81.28