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Pennsylvania rates for HCPCS 86756

Antibody Respiratory Synctial Virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.87 / $43.21 / $66.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $11.49 / $15.25
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $84.41 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.39 / $12.39 / $12.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.44 / $20.66 / $53.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.08 / $17.98 / $23.77
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $9.38 / $21.52
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.20 / $28.04 / $28.91
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.51 / $43.21 / $66.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.12 / $12.87 / $65.63
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.64 / $21.16 / $53.24
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.08 / $17.98 / $22.72
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.89 / $15.89 / $15.89
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.98 / $15.89 / $18.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.67 / $9.52 / $27.65