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Arizona rates for HCPCS 86756

Antibody; respiratory syncytial virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.48 / $31.78 / $63.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.65 / $11.49 / $102.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.89 / $34.90 / $58.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.19 / $13.38 / $19.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.44 / $25.83 / $46.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.65 / $19.41 / $24.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.57 / $11.72 / $75.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.67 / $7.56 / $10.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.67 / $7.56 / $9.52