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Rhode Island rates for HCPCS 86695

Antibody; herpes simplex, type 1

Facilitymedian $63 · 10th–90th $18–$830%20%10th90th$63Professionalmedian $12 · 10th–90th $9–$200%20%40%10th90th$12$10.0$20.0$50.0$100.0

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
$39.81 / $79.43 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $12.02 / $12.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $16.22 / $26.92
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $7.41 / $22.39
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $31.62 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $14.45 / $20.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $10.96 / $26.30