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North Dakota rates for HCPCS 86695

Antibody; herpes simplex, type 1

Facilitymedian $71 · 10th–90th $12–$2750%20%10th90th$71Professionalmedian $12 · 10th–90th $10–$400%50%10th90th$12$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
$10.23 / $11.75 / $42.66
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $26.30 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $19.50
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $21.88 / $67.61
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $9.33 / $22.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $13.80 / $21.38