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Louisiana rates for HCPCS 86696

Antibody; herpes simplex, type 2

Facilitymedian $38 · 10th–90th $20–$870%10%10th90th$38Professionalmedian $17 · 10th–90th $14–$250%20%10th90th$17$5.0$10.0$20.0$50.0$100.0

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
$21.38 / $46.77 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $17.38 / $25.12
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $9.12 / $19.50
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $38.90 / $72.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $21.38 / $38.02
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $53.70 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $12.88 / $22.39
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $19.50 / $24.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $11.48 / $27.54