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Idaho rates for HCPCS 86787

Antibody Varicella-Zoster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.89 / $53.90 / $137.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.11 / $25.12 / $29.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.56 / $13.64 / $50.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $14.87 / $18.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.11 / $23.72 / $35.92
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $15.46
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.32 / $28.98 / $47.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.95 / $22.12 / $22.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.41 / $7.67 / $21.20