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Kentucky rates for HCPCS 86696

Antibody; herpes simplex, type 2

Facilitymedian $68 · 10th–90th $16–$1700%10%10th90th$68Professionalmedian $17 · 10th–90th $14–$320%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
$15.85 / $75.86 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $17.38 / $31.62
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $11.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $19.50 / $20.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $26.92
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $23.44 / $26.92
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $23.44 / $31.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $40.74 / $45.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $128.82 / $128.82
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $10.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $19.50 / $27.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $16.22 / $26.92