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Washington rates for HCPCS 87290

Iaadi Varicella Zoster Virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.31 / $25.65 / $72.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.70 / $11.05 / $13.42
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.09 / $26.17 / $70.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.92 / $10.70 / $25.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.30 / $21.74 / $38.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.26 / $15.44 / $23.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $12.95 / $14.24
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.42 / $14.09 / $29.62
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.42 / $20.13 / $36.90
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.08 / $12.08 / $12.08
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.43 / $22.02 / $36.90
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.07 / $13.42 / $35.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.72 / $12.75 / $13.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $15.03
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.04 / $6.04 / $6.95