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Nebraska rates for HCPCS 87290

Iaadi Varicella Zoster Virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.49 / $82.05 / $138.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.70 / $8.86 / $86.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.09 / $36.65 / $71.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $20.39 / $22.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.69 / $19.10 / $30.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.05 / $23.73 / $70.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.05 / $8.05 / $31.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.69 / $24.60 / $42.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.11 / $27.00 / $35.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.04 / $12.08 / $13.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.65 / $8.05 / $26.84