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Utah rates for HCPCS 87290

Iaadi Varicella Zoster Virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.19 / $56.23 / $104.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.80 / $10.81 / $15.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.47 / $11.79 / $36.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.48 / $15.28 / $19.10
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.42 / $15.43 / $54.35
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.27 / $10.85 / $15.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.71 / $6.71 / $8.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $8.05