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Vermont rates for HCPCS 86787

Antibody Varicella-Zoster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.34 / $155.97 / $168.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.95 / $22.48 / $22.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.55 / $120.43 / $228.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.90 / $15.90 / $15.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.55 / $21.55 / $94.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.92 / $14.87 / $20.39
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.55 / $21.55 / $94.50
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.48 / $10.55 / $20.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.63 / $10.80 / $25.20