go back

Wyoming rates for HCPCS 86756

Antibody; respiratory syncytial virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.89 / $15.89 / $15.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.89 / $15.89 / $15.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.10 / $22.10 / $26.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.86 / $25.00 / $51.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.10 / $32.10 / $32.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.90 / $18.17 / $22.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.67 / $7.44 / $18.01