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Ohio rates for HCPCS 86696

Antibody; herpes simplex, type 2

Facilitymedian $43 · 10th–90th $18$910%5%10th90th$43Professionalmedian $17 · 10th–90th $12$450%20%10th90th$17$5.0$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
$18.20 / $46.77 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $17.38 / $52.48
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $13.49 / $13.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $20.42 / $35.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $12.02 / $25.12
Aultcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $13.18
Aultcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $20.42 / $23.99
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $19.50 / $26.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $25.12 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.88 / $37.15
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $33.11 / $79.43
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $12.02 / $33.88
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $17.38 / $23.99
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $23.44
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $21.38 / $42.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $19.50 / $28.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $11.48 / $26.92