go back

Alaska rates for HCPCS 86759

Antibody; rotavirus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $131.83 / $223.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $16.98 / $61.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $20.42 / $25.70
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $13.18 / $18.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $72.44
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $70.79 / $85.11
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $40.74 / $40.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $13.18 / $13.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $16.60 / $18.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $36.31 / $54.95