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Illinois rates for HCPCS 86759

Antibody Rotavirus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.68 / $33.72 / $50.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.04 / $14.95 / $33.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.55 / $41.16 / $174.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.50 / $13.34 / $14.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.52 / $43.61 / $83.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.27 / $20.65 / $27.88
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.14 / $29.17 / $100.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.70 / $23.70 / $23.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.82 / $12.51 / $22.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.66 / $10.94 / $18.43