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Oklahoma rates for HCPCS 86695

Antibody; herpes simplex, type 1

Facilitymedian $41 · 10th–90th $11$760%10%10th90th$41Professionalmedian $12 · 10th–90th $9$200%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
$9.77 / $26.30 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $11.75 / $19.95
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $8.13 / $9.12
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $46.77 / $67.61
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $12.59
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $21.38 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $8.13 / $19.05
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $13.18 / $81.28
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $7.59 / $17.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $11.75 / $18.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $7.59 / $11.22