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Illinois rates for HCPCS 86756

Antibody Respiratory Synctial Virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.67 / $29.43 / $43.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.95 / $13.03 / $29.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.24 / $40.35 / $152.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $11.29 / $12.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.22 / $38.01 / $72.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $19.13 / $24.26
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.68 / $26.35 / $73.80
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.66 / $20.66 / $20.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.95 / $8.84 / $19.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.67 / $9.52 / $16.70