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Texas rates for HCPCS 86787

Antibody; varicella-zoster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.73 / $61.87 / $168.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.27 / $11.60 / $23.36
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.80 / $7.73 / $8.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.40 / $40.06 / $72.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $6.83 / $11.59
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.24 / $21.25 / $96.20
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.66 / $12.88 / $20.36
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $12.88 / $12.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.00 / $28.29 / $64.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $9.39 / $21.88
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $521.94 / $521.94
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.59 / $18.89 / $21.46
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.29 / $12.88 / $24.65
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.59 / $12.88 / $16.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.29 / $12.88 / $30.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $9.92 / $18.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.75 / $12.88 / $21.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.41 / $7.38 / $8.63
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $6.36 / $12.88