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Idaho rates for HCPCS 86759

Antibody; rotavirus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.90 / $32.90 / $47.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.76 / $35.54 / $35.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $19.32 / $71.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.06 / $20.65 / $25.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.74 / $23.04 / $37.33
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.23 / $18.23 / $21.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.35 / $38.59 / $65.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.50 / $31.43 / $32.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.66 / $7.85 / $21.71