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Missouri rates for HCPCS 86696

Antibody; herpes simplex, type 2

Facilitymedian $32 · 10th–90th $18$910%10%20%10th90th$32Professionalmedian $26 · 10th–90th $12$620%10%10th90th$26$0.1$0.5$2.0$10.0$50.0$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 / $33.11 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $27.54 / $64.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $67.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $17.38 / $48.98
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $39.81 / $43.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $36.31 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $18.20 / $50.12
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $33.88 / $91.20
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $11.48 / $23.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $19.50 / $23.99
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $11.48 / $25.12