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Texas rates for HCPCS 86695

Antibody; herpes simplex, type 1

Facilitymedian $55 · 10th–90th $13$1260%5%10th90th$55Professionalmedian $12 · 10th–90th $7$200%20%10th90th$12$2.0$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
$15.14 / $60.26 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $11.75 / $21.38
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $7.94 / $9.12
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $44.67 / $79.43
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.24 / $8.13
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $20.89 / $95.50
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $13.80 / $20.89
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $13.80 / $13.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $28.84 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $9.55 / $22.39
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 / $19.50 / $21.88
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $16.98 / $104.71
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $11.75 / $22.91
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.96 / $10.96
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $245.47 / $275.42
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $13.18 / $39.81
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $9.55 / $21.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $13.18 / $15.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $7.59 / $13.18
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $6.76 / $13.18