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Utah rates for HCPCS 86787

Antibody; varicella-zoster

Facilitymedian $93 · 10th–90th $26$1230%20%10th90th$93Professionalmedian $11 · 10th–90th $9$230%20%40%10th90th$11$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
$25.70 / $93.33 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $11.48 / $22.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $13.49 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $8.71 / $25.12
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $57.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $10.96 / $11.48
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $12.88 / $40.74
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $12.88 / $19.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $8.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $7.59 / $18.20