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Tennessee rates for HCPCS 86695

Antibody; herpes simplex, type 1

Facilitymedian $51 · 10th–90th $10–$870%10%10th90th$51Professionalmedian $12 · 10th–90th $9–$230%20%40%10th90th$12$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
$10.47 / $56.23 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $11.75 / $23.44
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $6.61 / $19.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $18.20 / $18.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $29.51 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $10.23 / $19.95
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $81.28 / $81.28
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $11.75
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $13.18 / $13.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.25 / $9.12 / $18.62