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New Hampshire rates for HCPCS 86787

Antibody Varicella-Zoster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.85 / $91.49 / $244.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.27 / $14.69 / $14.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.19 / $24.93 / $58.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.15 / $8.36 / $9.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.38 / $64.95 / $87.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.67 / $9.27 / $18.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.48 / $22.89 / $46.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.41 / $7.73 / $10.80
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $15.28 / $20.73