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Maine rates for HCPCS 86756

Antibody; respiratory syncytial virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $15.85 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.88 / $57.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $120.23 / $131.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $9.55 / $16.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $18.62 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $17.38 / $22.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $15.85 / $19.05
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $15.85 / $25.70
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $15.85 / $46.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $15.85 / $26.30