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Hawaii rates for HCPCS 86759

Antibody; rotavirus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.04 / $17.05 / $21.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.40 / $21.88 / $21.88
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.44 / $28.28 / $33.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.23 / $21.88 / $27.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.66 / $21.88 / $27.35
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.35 / $24.61 / $34.10