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New Mexico rates for HCPCS 86695

Antibody; herpes simplex, type 1

Facilitymedian $32 · 10th–90th $16–$1170%10%20%10th90th$32Professionalmedian $12 · 10th–90th $9–$210%50%10th90th$12$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$15.85 / $31.62 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $11.75 / $21.38
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $87.10 / $138.04
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $10.72 / $12.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $8.51 / $8.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $19.05 / $28.84
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $7.24 / $7.24
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $14.45 / $22.91
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $20.42 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $11.75 / $19.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $7.76 / $8.13