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Iowa rates for HCPCS 86756

Antibody Respiratory Synctial Virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.14 / $37.58 / $54.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.49 / $12.24 / $42.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $28.72 / $35.90
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.89 / $27.81 / $44.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.89 / $21.61 / $61.86
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.52 / $15.89 / $37.13
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.79 / $29.12 / $47.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.05 / $26.67 / $41.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.52 / $10.52 / $36.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.55 / $15.89 / $15.89