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Washington, DC rates for HCPCS 86756

Antibody Respiratory Synctial Virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.92 / $46.07 / $97.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.92 / $11.92 / $11.92
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.71 / $56.37 / $128.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.83 / $26.86 / $58.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.80 / $18.17 / $22.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.29 / $32.29 / $32.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.56 / $10.70 / $14.46