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Tennessee rates for HCPCS 86756

Antibody; respiratory syncytial virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.55 / $22.53 / $96.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $12.39 / $15.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.74 / $15.89 / $17.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.33 / $34.32 / $49.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $9.72 / $22.72
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.76 / $75.48 / $75.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.39 / $9.52 / $18.01