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Michigan rates for HCPCS 86756

Antibody; respiratory syncytial virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.10 / $15.10 / $23.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.03 / $15.10 / $23.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.49 / $17.98 / $31.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $11.92 / $16.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.91 / $18.17 / $22.72
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.35 / $15.10 / $27.75
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.58 / $17.16 / $20.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.84 / $13.16 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.67 / $10.33 / $11.18