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Illinois rates for HCPCS 86787

Antibody Varicella-Zoster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.48 / $68.18 / $248.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.66 / $11.68 / $23.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.44 / $7.73 / $17.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.67 / $40.35 / $135.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $9.42 / $9.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.46 / $31.54 / $59.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $15.69 / $19.61
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.52 / $24.93 / $167.80
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.73 / $16.73 / $16.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.44 / $8.84 / $16.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.60 / $21.60 / $21.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.41 / $7.90 / $13.27