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Washington rates for HCPCS 86787

Antibody; varicella-zoster

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.35 / $55.14 / $124.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.66 / $11.68 / $25.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.73 / $8.94 / $23.83
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.52 / $24.99 / $521.94
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.36 / $11.72 / $24.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $26.37 / $37.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.94 / $16.97 / $25.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.16 / $12.43 / $13.67
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $13.52 / $28.43
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $19.32 / $35.42
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.59 / $11.59 / $11.59
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.81 / $21.25 / $35.42
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.66 / $12.88 / $35.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.41 / $5.41 / $12.88
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.80 / $5.80 / $6.67