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Oregon rates for HCPCS 86695

Antibody; herpes simplex, type 1

Facilitymedian $32 · 10th–90th $13$830%10%10th90th$32Professionalmedian $12 · 10th–90th $10$230%50%10th90th$12$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$19.05 / $50.12 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $11.75 / $21.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $34.67 / $47.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $14.79 / $25.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $29.51 / $33.11
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $14.13 / $79.43
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $16.60 / $22.91
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $26.92
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $16.60
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $19.05 / $39.81
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $15.85 / $79.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $39.81 / $54.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $13.49 / $16.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $15.85 / $20.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $7.59 / $18.62