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Alaska rates for HCPCS 86787

Antibody; varicella-zoster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $97.03 / $363.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.85 / $43.15 / $43.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.57 / $35.57 / $35.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $14.87 / $18.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.68 / $11.68 / $11.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $51.52
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.08 / $49.59 / $83.09
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.59 / $28.98 / $160.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.68 / $11.68 / $45.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $16.64 / $18.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.10 / $25.76 / $38.86