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Pennsylvania rates for HCPCS 86787

Antibody; varicella-zoster

Facilitymedian $51 · 10th–90th $17$1070%10%10th90th$51Professionalmedian $12 · 10th–90th $10$350%50%10th90th$12$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$16.98 / $51.29 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $11.75 / $35.48
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $7.94 / $12.88
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $52.48 / $134.90
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $8.32
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $91.20 / $5,011.87
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $12.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $19.50 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $16.60 / $31.62
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $8.13 / $18.62
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $14.45 / $22.39
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $31.62 / $70.79
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $10.96
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $51.29 / $134.90
Independence Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $8.32
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $21.88 / $63.10
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $10.96 / $20.42
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $229.09 / $323.59
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $14.13 / $19.50
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $13.18 / $19.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $12.88 / $15.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $8.51 / $22.39