go back

Iowa rates for HCPCS 86696

Antibody; herpes simplex, type 2

Facilitymedian $42 · 10th–90th $19–$1320%5%10%10th90th$42Professionalmedian $26 · 10th–90th $13–$1020%10%10th90th$26$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
$16.60 / $41.69 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $27.54 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $37.15 / $46.77
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $25.12 / $128.82
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $23.44 / $51.29
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $19.50 / $48.98
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $25.12
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $162.18 / $162.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $44.67
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $11.48 / $28.84
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.50 / $19.50