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Illinois rates for HCPCS 87290

Iaadi Varicella Zoster Virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.54 / $26.84 / $36.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.70 / $11.00 / $17.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.78 / $38.40 / $138.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $10.33 / $10.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.08 / $32.09 / $61.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.83 / $16.52 / $20.65
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.09 / $23.49 / $123.08
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.45 / $17.45 / $17.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.71 / $9.21 / $16.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.23 / $13.42 / $16.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $9.22 / $16.10