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Vermont rates for HCPCS 86696

Antibody; herpes simplex, type 2

Facilitymedian $110 · 10th–90th $32–$1510%20%10th90th$110Professionalmedian $33 · 10th–90th $16–$330%20%40%10th$33$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $104.71 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $33.11 / $33.11
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $123.03 / $331.13
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $23.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $123.03 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $28.18 / $33.11
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $19.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.76 / $6.76 / $6.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $22.91 / $52.48