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New Jersey rates for HCPCS 86756

Antibody; respiratory syncytial virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.97 / $24.93 / $81.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.32 / $11.54 / $15.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.10 / $35.36 / $72.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $10.60 / $22.72
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $8.74 / $12.71
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.12 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.12 / $11.12 / $11.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.56 / $9.52 / $17.16