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Oklahoma rates for HCPCS 86696

Antibody; herpes simplex, type 2

Facilitymedian $32 · 10th–90th $16–$780%10%10th90th$32Professionalmedian $17 · 10th–90th $14–$290%50%10th90th$17$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$14.45 / $39.81 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $17.38 / $28.84
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $11.75 / $13.49
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $28.18 / $40.74
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $19.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $31.62 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $11.75 / $28.18
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $19.50 / $91.20
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $11.22 / $25.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $17.38 / $26.92
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $10.96 / $16.60