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Illinois rates for HCPCS 86696

Antibody; herpes simplex, type 2

Facilitymedian $58 · 10th–90th $23–$1450%5%10th90th$58Professionalmedian $17 · 10th–90th $13–$350%20%10th90th$17$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
$23.44 / $57.54 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $17.38 / $34.67
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $11.48 / $25.70
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $52.48 / $199.53
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $13.49 / $14.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $44.67 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $22.39 / $35.48
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $37.15 / $154.88
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $25.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $19.50 / $38.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $12.59 / $23.44