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Indiana rates for HCPCS 86696

Antibody; herpes simplex, type 2

Facilitymedian $48 · 10th–90th $19$1480%10%20%10th90th$48Professionalmedian $17 · 10th–90th $14$350%20%40%10th90th$17$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
$19.50 / $66.07 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $17.38 / $34.67
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $13.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $57.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $9.55 / $19.50
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $20.42 / $25.12
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $19.50 / $23.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $19.50 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $13.18 / $41.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $19.50 / $19.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $14.79 / $22.91