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Wisconsin rates for HCPCS 86695

Antibody; herpes simplex, type 1

Facilitymedian $65 · 10th–90th $16$1480%5%10th90th$65Professionalmedian $12 · 10th–90th $9$430%20%40%10th90th$12$5.0$20.0$100.0$500.0$2.0K

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
$19.95 / $70.79 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $11.75 / $23.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $35.48 / $36.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $52.48
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $13.80
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $13.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $41.69 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $40.74
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $28.84 / $104.71
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $15.85 / $134.90
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $10.96 / $30.20
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $32.36 / $64.57
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $38.02
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $21.88 / $37.15
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $33.11 / $77.62
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $81.28
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $8.71 / $12.88
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $28.18
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $72.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $11.75 / $15.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $10.47 / $32.36