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Louisiana rates for HCPCS 86787

Antibody Varicella-Zoster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.90 / $28.26 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.95 / $11.68 / $23.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.94 / $8.94 / $8.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.48 / $24.59 / $43.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.73 / $14.17 / $19.34
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $12.88 / $12.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.36 / $27.92 / $79.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.07 / $8.60 / $18.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.80 / $10.80 / $10.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $6.44 / $18.00