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Nebraska rates for HCPCS 86695

Antibody; herpes simplex, type 1

Facilitymedian $26 · 10th–90th $15–$980%10%20%10th90th$26Professionalmedian $15 · 10th–90th $8–$870%10%20%10th90th$15$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
$16.98 / $25.70 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $15.14 / $87.10
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $6.61
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $39.81 / $77.62
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $20.42 / $21.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $25.70 / $31.62
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $25.12 / $81.28
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $7.94 / $23.99
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $26.92
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $16.22
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $138.04 / $162.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $7.94 / $17.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $7.94 / $14.45