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Maryland rates for HCPCS 86756

Antibody Respiratory Synctial Virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.57 / $67.59 / $67.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.49 / $11.85 / $44.47
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.44 / $12.71 / $19.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.42 / $10.44 / $20.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $13.70 / $22.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.89 / $19.86 / $23.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.67 / $7.90 / $12.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $7.95 / $12.65