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Texas rates for HCPCS 86756

Antibody Respiratory Synctial Virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.76 / $29.64 / $119.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.90 / $11.23 / $19.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.00 / $47.83 / $89.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $8.42 / $9.85
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.30 / $19.13 / $120.14
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.42 / $15.89 / $15.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.10 / $30.02 / $70.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.07 / $9.68 / $24.26
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.66 / $75.48 / $75.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.12 / $15.89 / $19.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.30 / $15.89 / $16.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.14 / $15.89 / $36.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.10 / $9.91 / $18.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.67 / $7.43 / $10.33
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.20 / $6.36 / $15.89