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Idaho rates for HCPCS 86756

Antibody Respiratory Synctial Virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.68 / $37.18 / $88.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.12 / $23.83 / $30.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.50 / $16.84 / $61.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $18.17 / $22.72
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.41 / $22.51 / $32.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.89 / $15.89 / $19.07
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.84 / $35.75 / $58.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.51 / $27.35 / $28.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.67 / $7.67 / $21.22