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Ohio rates for HCPCS 86695

Antibody; herpes simplex, type 1

Facilitymedian $32 · 10th–90th $13$850%5%10th90th$32Professionalmedian $12 · 10th–90th $9$330%20%40%10th90th$12$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
$12.59 / $34.67 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $11.75 / $36.31
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $9.12 / $9.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $13.80 / $24.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $8.13 / $16.98
Aultcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $8.91
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $10.47
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $13.80 / $16.60
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $13.18 / $17.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $16.98 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $8.71 / $25.12
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $19.05 / $54.95
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $13.18 / $38.02
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $11.75 / $16.22
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $14.45 / $28.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $13.18 / $19.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $7.94 / $15.85