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Michigan rates for HCPCS 86787

Antibody; varicella-zoster

Facilitymedian $19 · 10th–90th $11–$650%10%20%10th90th$19Professionalmedian $12 · 10th–90th $10–$320%20%40%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
$11.75 / $19.05 / $64.57
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
$5.13 / $6.46 / $33.11
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $14.79 / $25.70
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $9.55
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $13.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $14.45 / $18.62
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $22.39 / $79.43
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $15.49 / $28.18
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $10.23 / $16.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $12.88 / $12.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $10.72 / $15.14