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Illinois rates for HCPCS 86787

Antibody; varicella-zoster

Facilitymedian $50 · 10th–90th $16–$2090%5%10th90th$50Professionalmedian $12 · 10th–90th $9–$340%20%10th90th$12$5.0$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
$16.60 / $51.29 / $208.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $11.75 / $34.67
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $7.76 / $17.38
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $34.67 / $134.90
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $8.91 / $10.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $30.20 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $15.14 / $23.44
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $25.12 / $165.96
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $16.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $12.88 / $25.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $8.13 / $11.22