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Indiana rates for HCPCS 86787

Antibody Varicella-Zoster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.03 / $22.62 / $175.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $11.60 / $23.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.94 / $8.94 / $12.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.18 / $11.75 / $38.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.09 / $6.36 / $9.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $14.17 / $18.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.36 / $13.52 / $17.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.43 / $12.88 / $33.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.48 / $14.87 / $25.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.41 / $7.73 / $12.88