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Nebraska rates for HCPCS 86787

Antibody; varicella-zoster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.82 / $63.26 / $176.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.50 / $11.60 / $23.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.44 / $6.44 / $6.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $39.40 / $76.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $19.57 / $21.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.00 / $19.00 / $19.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.87 / $18.59 / $29.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.48 / $34.96 / $186.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.41 / $7.73 / $23.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.46 / $18.80 / $40.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.46 / $26.23 / $37.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $12.88 / $17.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.41 / $7.73 / $23.84