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West Virginia rates for HCPCS 86696

Antibody; herpes simplex, type 2

Facilitymedian $76 · 10th–90th $17–$1950%5%10%10th90th$76Professionalmedian $15 · 10th–90th $12–$300%20%10th90th$15$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
$17.38 / $75.86 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $16.98 / $30.20
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $26.30 / $31.62
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $23.44 / $26.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $40.74 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $37.15 / $128.82
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $81.28 / $117.49
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $11.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $11.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $11.48 / $26.92