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South Carolina rates for HCPCS 86696

Antibody; herpes simplex, type 2

Facilitymedian $85 · 10th–90th $19–$1320%10%10th90th$85Professionalmedian $17 · 10th–90th $14–$350%50%10th90th$17$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
$19.05 / $91.20 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $17.38 / $34.67
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $34.67
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $69.18 / $154.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $20.42 / $33.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $63.10 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $12.59 / $28.18
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $22.39 / $39.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $19.50 / $23.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $13.18 / $26.92