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Delaware rates for HCPCS 86759

Antibody; rotavirus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.96 / $20.96 / $20.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $15.13 / $15.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.85 / $11.85 / $11.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.41 / $20.65 / $25.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.54 / $8.09 / $18.43