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Oklahoma rates for HCPCS 86756

Antibody; respiratory syncytial virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.92 / $17.72 / $38.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.95 / $11.23 / $11.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.40 / $46.20 / $66.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.10 / $15.10 / $15.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $11.10 / $21.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.06 / $12.99 / $22.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.57 / $12.52 / $75.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.67 / $7.56 / $18.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.69 / $55.69 / $55.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.67 / $7.44 / $10.33