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Virginia rates for HCPCS 86756

Antibody; respiratory syncytial virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.51 / $34.96 / $96.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.92 / $13.03 / $13.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.89 / $15.89 / $77.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.36 / $6.36 / $9.61
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.18 / $58.35 / $87.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.10 / $31.80 / $72.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.61 / $9.67 / $18.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.07 / $19.86 / $23.52
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.57 / $11.57 / $15.25
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $19.48 / $32.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.60 / $19.23 / $4,071.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.12 / $19.23 / $4,071.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.67 / $7.95 / $15.89