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Minnesota rates for HCPCS 86756

Antibody Respiratory Synctial Virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.94 / $14.94 / $14.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.95 / $11.85 / $14.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.89 / $48.22 / $108.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.71 / $15.89 / $15.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.31 / $58.53 / $140.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.35 / $23.08 / $30.80
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.99 / $53.51 / $110.86
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $18.17 / $28.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.89 / $26.11 / $75.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.67 / $10.11 / $33.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.67 / $10.81 / $33.84