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Missouri rates for HCPCS 86756

Antibody; respiratory syncytial virus

Facilitymedian $25 · 10th–90th $16–$930%10%20%10th90th$25Professionalmedian $13 · 10th–90th $6–$310%10%10th90th$13$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
$18.62 / $27.54 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.88 / $30.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $56.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $12.30 / $36.31
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $25.12 / $28.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $30.20 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $15.14 / $33.11
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $27.54 / $75.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $9.55 / $18.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $15.85 / $19.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $9.55 / $18.62