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Washington, DC rates for HCPCS 86759

Antibody; rotavirus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $48.98 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.88 / $58.88
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $66.07 / $147.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $30.90 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $20.42 / $25.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $31.62 / $37.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $21.88 / $21.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $10.96 / $22.39