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Arkansas rates for HCPCS 86756

Antibody; respiratory syncytial virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.05 / $20.05 / $29.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.61 / $20.05 / $24.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.11 / $18.11 / $18.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.21 / $23.84 / $23.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.87 / $15.92 / $32.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.65 / $15.97 / $22.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.30 / $14.30 / $14.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.67 / $9.52 / $18.01