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South Carolina rates for HCPCS 86695

Antibody; herpes simplex, type 1

Facilitymedian $95 · 10th–90th $13–$1260%10%10th90th$95Professionalmedian $12 · 10th–90th $10–$230%50%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
$12.88 / $97.72 / $125.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $11.75 / $22.91
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $56.23 / $123.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $28.18 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $44.67 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $8.51 / $19.05
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $15.14 / $38.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $13.18 / $13.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $8.32 / $18.62