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New Jersey rates for HCPCS 86787

Antibody Varicella-Zoster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $45.56 / $152.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.97 / $11.60 / $23.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.14 / $7.73 / $8.94
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $109.98 / $356.69
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $20.23 / $27.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.00 / $28.15 / $59.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.26 / $10.60 / $18.59
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.92 / $7.60 / $10.30
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.02 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.02 / $9.02 / $9.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $14.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $7.73 / $14.60