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Arizona rates for HCPCS 86759

Antibody; rotavirus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.61 / $29.82 / $72.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.21 / $14.65 / $117.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.19 / $40.11 / $66.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.56 / $15.36 / $21.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.11 / $29.63 / $53.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.82 / $22.30 / $27.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.28 / $13.43 / $116.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.55 / $7.74 / $10.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.55 / $7.74 / $10.94