go back

Maryland rates for HCPCS 86756

Antibody; respiratory syncytial virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $67.61 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $12.02 / $19.05
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $12.59 / $14.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $10.47 / $20.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $10.00 / $45.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $17.38 / $26.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $6.61 / $12.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.94 / $14.45
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $12.59 / $23.99