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Nebraska rates for HCPCS 86696

Antibody; herpes simplex, type 2

Facilitymedian $32 · 10th–90th $22–$1510%10%10th90th$32Professionalmedian $23 · 10th–90th $11–$1290%10%20%10th90th$23$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
$22.91 / $30.90 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $22.91 / $128.82
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $9.77
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $39.81 / $77.62
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $30.20 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $37.15 / $46.77
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $36.31 / $91.20
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $11.48 / $26.30
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $39.81
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $234.42 / $275.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $11.48 / $25.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $11.48 / $26.30