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North Carolina rates for HCPCS 86696

Antibody; herpes simplex, type 2

Facilitymedian $72 · 10th–90th $19–$1700%5%10%10th90th$72Professionalmedian $17 · 10th–90th $14–$350%20%40%10th90th$17$5.0$20.0$100.0$500.0

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
$19.50 / $74.13 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $17.38 / $34.67
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $13.49 / $13.49
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $83.18 / $83.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $13.49 / $17.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $40.74 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $13.49 / $29.51
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $33.88 / $41.69
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $17.38 / $38.02
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $25.70 / $25.70
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $416.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $23.44 / $33.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $13.49 / $27.54
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $91.20 / $91.20