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Maine rates for HCPCS 86787

Antibody Varicella-Zoster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.51 / $52.97 / $180.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.43 / $12.88 / $17.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.46 / $17.19 / $130.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.15 / $5.15 / $14.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.22 / $17.89 / $27.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.09 / $17.53 / $18.59
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.00 / $176.00 / $176.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $15.60
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $57.57 / $271.08
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.43 / $14.81 / $25.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.73 / $10.53 / $25.45