go back

California rates for HCPCS 86759

Antibody; rotavirus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.92 / $57.32 / $136.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.78 / $15.40 / $117.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.97 / $43.97 / $293.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.29 / $10.90 / $35.72
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.49 / $81.40 / $169.56
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.18 / $11.68 / $46.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.85 / $23.59 / $59.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.68 / $20.65 / $27.88
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.36 / $18.23 / $29.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.58 / $18.23 / $39.74
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.62 / $88.72 / $116.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.11 / $9.11 / $9.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.26 / $18.48 / $43.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.78 / $17.05 / $28.43
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.98 / $63.98 / $63.98
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.58 / $18.23 / $25.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.66 / $7.93 / $26.35