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Texas rates for HCPCS 87290

Iaadi Varicella Zoster Virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.14 / $25.04 / $65.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.52 / $10.19 / $16.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.48 / $43.75 / $75.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $7.11 / $11.94
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.42 / $13.42 / $13.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.36 / $26.68 / $60.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $8.86 / $20.65
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $70.00 / $70.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.19 / $13.42 / $17.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.53 / $13.42 / $14.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.19 / $13.42 / $32.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $9.39 / $17.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.70 / $8.86 / $16.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $6.90 / $11.89
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.23 / $5.92 / $13.42