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North Dakota rates for HCPCS 86696

Antibody; herpes simplex, type 2

Facilitymedian $89 · 10th–90th $23–$1050%20%10th90th$89Professionalmedian $17 · 10th–90th $14–$580%20%40%10th90th$17$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
$25.70 / $89.13 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $17.38 / $81.28
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $38.90 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $28.18
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $28.84 / $87.10
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $13.49 / $33.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $20.42 / $31.62