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South Carolina rates for HCPCS 86787

Antibody Varicella-Zoster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.60 / $83.16 / $125.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.05 / $11.60 / $23.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.94 / $8.94 / $8.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.65 / $77.29 / $154.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $35.00 / $44.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.40 / $37.33 / $84.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.57 / $8.17 / $18.59
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.05 / $14.88 / $25.20
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $18.46 / $24.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $10.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.41 / $7.73 / $18.00