Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
LAB AB VARICELLA-ZOSTER IGG NS
Page, AZ
See all hospitals reporting CPT 86787 →Price type
Page Hospital’s median price of $28 is 25% above the median hospital's median price ($23), higher than 58% of the 2,674 hospitals reporting CPT 86787. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 24 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Humana medicare advantage facility · fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 2 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $13 | $15 | $2 | 15% | — | $13 – $18 |
| 3 | Aetna banner employee plans facility · percent of total billed charges · outpatientfrom % of charges | $19 | $22 | $3 | 15% | — | $19 – $26 |
| 4 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $21 | $23 | $4 | 15% | — | $21 – $28 |
| 5 | Bcbs Az medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $21 | $23 | $4 | 15% | — | $21 – $28 |
| 6 | Cigna hmo medicare advantage plan/ppo medicare advantage plan facility · percent of total billed charges · outpatientfrom % of charges | $21 | $23 | $4 | 15% | — | $21 – $28 |
| 7 | Kaiser medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $21 | $23 | $4 | 15% | — | $21 – $28 |
| 8 | UnitedHealthcare uhc medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $21 | $23 | $4 | 15% | — | $21 – $28 |
| 9 | UnitedHealthcare uhc individual exchange facility · percent of total billed charges · outpatientfrom % of charges | $21 | $24 | $4 | 15% | — | $21 – $29 |
| 10 | Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $23 | $25 | $4 | 15% | — | $23 – $31 |
| 11 | Bcbs Az bxbsaz neighborhood facility · percent of total billed charges · outpatientfrom % of charges | $23 | $26 | $4 | 15% | — | $23 – $31 |
| 12 | Bcbs Az bxbsaz alliance/bxbsaz blue hpn facility · percent of total billed charges · outpatientfrom % of charges | $25 | $28 | $4 | 15% | — | $25 – $33 |
| 13 | Bcbs Az bxbsaz alliance chs facility · percent of total billed charges · outpatientfrom % of charges | $26 | $29 | $4 | 15% | — | $26 – $35 |
| 14 | Aetna aetna qualified health plan facility · percent of total billed charges · outpatientfrom % of charges | $28 | $31 | $5 | 15% | — | $28 – $38 |
| 15 | Aetna joint venture facility · percent of total billed charges · outpatientfrom % of charges | $28 | $32 | $5 | 15% | — | $28 – $38 |
| 16 | Bcbs Az bcbsaz medicare facility · percent of total billed charges · outpatientfrom % of charges | $31 | $34 | $5 | 15% | — | $31 – $42 |
| 17 | Bcbs Az bcbsaz workers comp facility · percent of total billed charges · outpatientfrom % of charges | $31 | $34 | $5 | 15% | — | $31 – $42 |
| 18 | Bcbs Az commercial facility · percent of total billed charges · outpatientfrom % of charges | $31 | $34 | $5 | 15% | — | $31 – $42 |
| 19 | Oscar commercial facility · percent of total billed charges · outpatientfrom % of charges | $34 | $38 | $6 | 15% | — | $34 – $46 |
| 20 | Aetna medical rental facility · percent of total billed charges · inpatientfrom % of charges | $35 | $39 | $6 | 15% | — | $35 – $47 |
| 21 | Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges | $35 | $39 | $6 | 15% | — | $35 – $47 |
| 22 | Aetna broad network facility · percent of total billed charges · outpatientfrom % of charges | $35 | $40 | $6 | 15% | — | $35 – $48 |
| 23 | Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · inpatientfrom % of charges | $36 | $40 | $6 | 15% | — | $36 – $49 |
| 24 | Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · outpatientfrom % of charges | $36 | $40 | $6 | 15% | — | $36 – $49 |
Last updated: Mar 2, 2026
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