go back

West Virginia rates for HCPCS 86756

Antibody Respiratory Synctial Virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.03 / $23.84 / $102.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.92 / $13.03 / $13.03
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.48 / $21.45 / $23.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.07 / $19.07 / $21.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.91 / $27.39 / $47.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.32 / $22.72 / $82.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.15 / $7.95 / $25.41