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Missouri rates for HCPCS 86756

Antibody; respiratory syncytial virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.46 / $92.50 / $104.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.51 / $13.82 / $23.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.89 / $16.68 / $73.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.36 / $11.22 / $38.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.91 / $33.33 / $71.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.48 / $16.14 / $22.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.57 / $20.70 / $75.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.67 / $9.55 / $17.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.67 / $9.52 / $19.07