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New Hampshire rates for HCPCS 86695

Antibody; herpes simplex, type 1

Facilitymedian $50 · 10th–90th $19–$1510%10%10th90th$50Professionalmedian $12 · 10th–90th $9–$320%20%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
$15.14 / $56.23 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.02 / $32.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $25.70 / $75.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $8.51 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $50.12 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $13.80 / $38.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $22.91 / $44.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $10.96 / $48.98