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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
$20.42 / $25.12 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.02 / $25.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $6.76 / $10.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $35.48 / $72.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $12.59 / $22.91
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $7.94 / $14.45
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $10,471.29 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $12.30 / $14.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $15.85 / $32.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $9.55 / $18.62