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Louisiana rates for HCPCS 86756

Antibody Respiratory Synctial Virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.84 / $21.89 / $77.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.51 / $18.91 / $23.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.79 / $29.50 / $48.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.92 / $17.48 / $22.23
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.89 / $15.89 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.33 / $30.79 / $79.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.63 / $8.60 / $22.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.56 / $7.95 / $26.33