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New Hampshire rates for HCPCS 86696

Antibody; herpes simplex, type 2

Facilitymedian $69 · 10th–90th $27–$1950%5%10%10th90th$69Professionalmedian $17 · 10th–90th $13–$470%20%10th90th$17$10.0$20.0$50.0$100.0$200.0$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
$26.92 / $70.79 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $17.38 / $46.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $37.15 / $112.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $12.59 / $37.15
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $72.44 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $19.95 / $56.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $33.88 / $66.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $16.22 / $72.44