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Wisconsin rates for HCPCS 86787

Antibody; varicella-zoster

Facilitymedian $71 · 10th–90th $18$2340%5%10th90th$71Professionalmedian $12 · 10th–90th $9$600%20%40%10th90th$12$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 / $75.86 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $11.75 / $67.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $34.67 / $35.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $45.71
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $13.49
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $40.74 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $18.62 / $39.81
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $27.54 / $46.77
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $57.54 / $107.15
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $7.76 / $19.95
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $32.36 / $64.57
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $15.49 / $19.95
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $13.18 / $36.31
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $33.11 / $47.86
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $524.81
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $8.51 / $12.59
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $186.21
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $85.11 / $186.21
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $11.48 / $15.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $7.76 / $28.84