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Utah rates for HCPCS 86756

Antibody; respiratory syncytial virus

Facilitymedian $56 · 10th–90th $10$890%20%10th90th$56Professionalmedian $12 · 10th–90th $9$160%10%20%10th90th$12$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $56.23 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.02 / $15.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $16.60 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $8.71 / $25.12
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $64.57
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $13.49 / $14.45
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $15.85 / $50.12
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $14.13 / $22.91
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $10.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $7.59 / $18.20