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Delaware rates for HCPCS 86787

Antibody Varicella-Zoster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.39 / $90.66 / $410.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.18 / $10.69 / $13.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.36 / $8.36 / $8.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.24 / $14.87 / $24.05
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.47 / $31.70 / $82.82
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.50 / $12.50 / $12.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.41 / $7.73 / $18.00