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Pennsylvania rates for HCPCS 86695

Antibody; herpes simplex, type 1

Facilitymedian $55 · 10th–90th $17$1150%10%10th90th$55Professionalmedian $12 · 10th–90th $9$280%50%10th90th$12$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$18.62 / $56.23 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $11.75 / $33.11
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $13.18
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $72.44 / $1,479.11
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $8.51 / $21.88
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $93.33 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $11.75
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $19.95 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $16.98 / $32.36
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $7.76 / $19.05
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $13.18
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $14.79 / $22.91
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $33.11 / $70.79
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $10.00
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $61.66 / $141.25
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $8.51 / $8.51
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $27.54 / $66.07
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.96 / $20.42
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $147.91 / $204.17
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $16.98 / $19.95
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $16.98 / $19.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $13.18 / $15.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $8.71 / $22.91