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Wisconsin rates for HCPCS 86756

Antibody; respiratory syncytial virus

Facilitymedian $32 · 10th–90th $12$510%10%20%10th90th$32Professionalmedian $14 · 10th–90th $6$510%10%10th90th$14$5.0$10.0$20.0$50.0$100.0$200.0

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
$19.05 / $35.48 / $43.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $12.02 / $19.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $42.66 / $43.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $50.12
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $10.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $51.29 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $22.91 / $50.12
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $28.84 / $46.77
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $14.45 / $75.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.79 / $9.55 / $24.55
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $32.36 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $19.05 / $24.55
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $16.22 / $44.67
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $40.74 / $97.72
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $75.86
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $8.51 / $12.59
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $33.88
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $23.44 / $87.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $12.59 / $19.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $9.55 / $26.30