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Washington, DC rates for HCPCS 86759

Antibody Rotavirus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.67 / $47.14 / $111.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.67 / $13.67 / $13.67
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.58 / $57.69 / $131.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.63 / $30.81 / $66.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.94 / $20.65 / $25.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.06 / $37.06 / $37.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.66 / $8.35 / $16.59