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Utah rates for HCPCS 86787

Antibody; varicella-zoster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $93.33 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $11.48 / $23.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $11.22 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $14.79 / $25.12
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $46.77 / $67.61
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $10.96 / $11.48
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $12.88 / $40.74
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $12.88 / $24.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.46 / $6.46 / $8.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $7.59 / $17.78