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Tennessee rates for HCPCS 86696

Antibody; herpes simplex, type 2

Facilitymedian $72 · 10th–90th $15–$1020%10%10th90th$72Professionalmedian $17 · 10th–90th $14–$350%20%40%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
$15.14 / $72.44 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $17.38 / $34.67
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $9.77 / $28.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $26.30 / $26.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $43.65 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $15.14 / $29.51
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $91.20 / $91.20
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $17.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $19.50 / $19.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $15.85 / $27.54