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Maine rates for HCPCS 86696

Antibody; herpes simplex, type 2

Facilitymedian $56 · 10th–90th $19–$1580%10%10th90th$56Professionalmedian $17 · 10th–90th $14–$1170%10%20%10th90th$17$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
$17.78 / $56.23 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $17.38 / $123.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $181.97 / $194.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $10.96 / $26.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $27.54 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $19.50 / $28.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $19.50 / $23.44
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $28.84
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $18.20 / $33.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $19.50 / $39.81