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New Hampshire rates for HCPCS 86756

Antibody Respiratory Synctial Virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.27 / $47.05 / $111.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.28 / $14.69 / $14.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.14 / $30.76 / $71.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.36 / $10.32 / $12.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.26 / $66.22 / $87.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.25 / $9.27 / $22.72
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.57 / $28.24 / $56.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.67 / $9.52 / $20.10
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.76 / $15.28 / $20.74