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Pennsylvania rates for HCPCS 86696

Antibody; herpes simplex, type 2

Facilitymedian $79 · 10th–90th $26$1620%10%20%10th90th$79Professionalmedian $17 · 10th–90th $14$430%20%40%10th90th$17$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$26.92 / $79.43 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $17.38 / $43.65
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $19.50
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $91.20 / $2,454.71
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $31.62
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $134.90 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $18.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $29.51 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $25.12 / $46.77
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $14.79 / $28.18
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $19.50
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $21.38 / $33.88
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $48.98 / $107.15
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $14.45
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $79.43 / $181.97
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $12.59
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $39.81 / $95.50
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $16.98 / $30.90
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $251.19 / $354.81
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.21 / $16.22 / $20.89
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $16.98 / $20.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $19.50 / $23.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $14.45 / $33.88