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Utah rates for HCPCS 86756

Antibody Respiratory Synctial Virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.36 / $54.39 / $94.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.36 / $12.55 / $18.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.58 / $13.97 / $43.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.10 / $18.17 / $22.72
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.89 / $18.27 / $64.34
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.16 / $13.02 / $18.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.67 / $7.62 / $9.52