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Michigan rates for HCPCS 86756

Antibody; respiratory syncytial virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $15.14 / $27.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $12.88 / $19.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $17.78 / $31.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $12.02 / $12.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $18.20 / $22.91
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $15.14 / $42.66
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $16.98 / $23.44
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $10.23 / $19.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $15.85 / $15.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $10.47 / $11.22