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Utah rates for HCPCS 86787

Antibody; varicella-zoster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.89 / $91.80 / $113.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.66 / $11.60 / $23.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.01 / $11.32 / $35.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.10 / $14.87 / $18.59
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $14.81 / $57.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $10.58 / $14.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.41 / $7.61 / $7.73