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South Carolina rates for HCPCS 86756

Antibody Respiratory Synctial Virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.12 / $12.39 / $159.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.39 / $12.71 / $23.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.96 / $103.32 / $179.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.89 / $28.00 / $39.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.88 / $46.07 / $96.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.23 / $8.17 / $22.72
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.92 / $16.68 / $25.21
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $18.46 / $24.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.74 / $8.74 / $12.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.67 / $9.52 / $26.72