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New York rates for HCPCS 87290

Iaadi Varicella Zoster Virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.41 / $22.14 / $38.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.49 / $10.81 / $13.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.42 / $13.42 / $34.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.42 / $6.95 / $22.99
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.05 / $13.42 / $13.42
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.80 / $13.42 / $13.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.36 / $26.86 / $94.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.89 / $13.52 / $78.94
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.60 / $17.63 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.13 / $8.05 / $24.56
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.11 / $8.11 / $8.11
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $11.41 / $15.21
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.73 / $32.36 / $160.97
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.44 / $13.42 / $26.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.23 / $8.72 / $9.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $8.05 / $19.71
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.43 / $15.43 / $42.22
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $13.42 / $16.13