go back

Nebraska rates for HCPCS 86756

Antibody; respiratory syncytial virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.24 / $41.37 / $69.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.49 / $11.12 / $102.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $39.40 / $76.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.07 / $24.14 / $26.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.79 / $22.72 / $35.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.52 / $25.84 / $119.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.39 / $9.52 / $23.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.79 / $22.25 / $47.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.89 / $28.00 / $41.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.67 / $9.52 / $23.84