go back

Delaware rates for HCPCS 86756

Antibody Respiratory Synctial Virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.27 / $18.27 / $18.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.55 / $13.19 / $13.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.33 / $10.33 / $10.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.24 / $18.17 / $24.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.39 / $7.90 / $18.01