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Utah rates for HCPCS 87807

Iaadiadoo Respiratory Synctial Virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.19 / $56.23 / $104.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.69 / $10.81 / $15.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.20 / $11.52 / $36.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.48 / $14.87 / $18.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.67 / $20.72 / $20.72
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.10 / $15.07 / $53.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.02 / $10.58 / $15.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $7.09 / $7.86