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Hawaii rates for HCPCS 86756

Antibody Respiratory Synctial Virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.11 / $14.86 / $19.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.89 / $15.89 / $15.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.21 / $19.07 / $19.07
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.97 / $27.66 / $32.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.89 / $19.07 / $23.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.67 / $19.07 / $25.01
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.80 / $23.41 / $33.32