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Indiana rates for HCPCS 86756

Antibody; respiratory syncytial virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $24.55 / $56.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $12.88 / $18.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $7.94 / $7.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $15.85 / $47.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $6.31 / $14.45
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $10.72 / $19.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $15.85 / $32.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $9.12 / $28.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $15.85 / $15.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $7.08 / $15.85