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Maine rates for HCPCS 86756

Antibody; respiratory syncytial virus

Facilitymedian $16 · 10th–90th $16–$1200%50%90th$16Professionalmedian $12 · 10th–90th $10–$230%20%10th90th$12$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $70.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $22.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $120.23 / $131.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $9.12 / $17.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $18.62 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $16.22 / $18.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $15.85 / $19.05
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $23.99
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $15.85 / $26.30