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Maine rates for HCPCS 86756

Antibody Respiratory Synctial Virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.89 / $15.89 / $39.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.87 / $12.87 / $23.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.38 / $21.21 / $134.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.36 / $6.36 / $14.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.22 / $17.89 / $29.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.04 / $18.17 / $22.72
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.89 / $15.89 / $19.23
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.89 / $15.89 / $39.72
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.87 / $15.41 / $15.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.52 / $10.53 / $24.57