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Wisconsin rates for HCPCS 86756

Antibody Respiratory Synctial Virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.07 / $23.84 / $35.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.03 / $15.41 / $22.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.15 / $41.31 / $43.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.36 / $6.36 / $63.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.76 / $38.84 / $40.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.15 / $51.60 / $79.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.17 / $42.79 / $48.63
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $12.40 / $19.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $13.03 / $75.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.87 / $10.53 / $28.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.91 / $23.84 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $12.40 / $19.07
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $38.81 / $98.81
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.78 / $31.78 / $75.48
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $8.49 / $12.55
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.99 / $5.99 / $33.84
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.99 / $27.58 / $86.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $12.71 / $28.64