go back

Wisconsin rates for HCPCS 86696

Antibody; herpes simplex, type 2

Facilitymedian $74 · 10th–90th $23$1950%5%10%10th90th$74Professionalmedian $17 · 10th–90th $14$600%20%40%10th90th$17$10.0$20.0$50.0$100.0$200.0$500.0$1.0K

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
$28.84 / $93.33 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $17.38 / $42.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $52.48 / $53.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $77.62
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $20.42
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $19.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $61.66 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $28.18 / $60.26
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $42.66 / $154.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $23.44 / $199.53
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $16.22 / $43.65
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $33.11 / $67.61
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $54.95
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $31.62 / $54.95
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $48.98 / $69.18
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $91.20
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $12.88 / $18.62
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $41.69
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $104.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $17.38 / $23.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $15.85 / $43.65