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Vermont rates for HCPCS 86756

Antibody Respiratory Synctial Virus

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.49 / $22.49 / $22.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.91 / $220.15 / $228.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.60 / $26.60 / $26.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.92 / $18.17 / $22.72
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.60 / $26.60 / $26.60
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.48 / $18.17 / $22.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.94 / $10.81 / $34.93