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New Jersey rates for HCPCS 86695

Antibody; herpes simplex, type 1

Facilitymedian $28 · 10th–90th $13$1320%10%10th90th$28Professionalmedian $12 · 10th–90th $9$210%50%10th90th$12$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$13.18 / $26.30 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $11.75 / $21.38
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $6.61 / $9.12
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $138.04 / $1,995.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $28.84 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $11.75 / $36.31
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $6.61 / $14.79
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $10,471.29 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $12.02 / $14.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.17 / $13.18 / $26.92
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $7.94 / $19.05