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Minnesota rates for HCPCS 86696

Antibody; herpes simplex, type 2

Facilitymedian $62 · 10th–90th $19–$1290%10%20%10th90th$62Professionalmedian $18 · 10th–90th $15–$560%20%10th90th$18$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
$25.70 / $93.33 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $17.38 / $93.33
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $69.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $19.50 / $19.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $72.44 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $28.18 / $38.02
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $60.26 / $128.82
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $37.15
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $48.98 / $117.49
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $23.99 / $125.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $19.50 / $23.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $19.50 / $42.66