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New York rates for HCPCS 86695

Antibody; herpes simplex, type 1

Facilitymedian $27 · 10th–90th $11$720%10%10th90th$27Professionalmedian $12 · 10th–90th $9$230%50%10th90th$12$0.1$0.5$5.0$50.0$500.0$5.0K$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
$11.22 / $26.92 / $74.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $11.75 / $21.38
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $5.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $34.67
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.76 / $30.20
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $13.18 / $13.18
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $13.18 / $13.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $28.84 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $19.50 / $87.10
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $13.18 / $36.31
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $9.33 / $25.70
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $12.59 / $15.14
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $27.54 / $58.88
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $25.12 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $15.85 / $21.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $9.33 / $29.51
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $15.14 / $27.54
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $13.18 / $33.88