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Indiana rates for HCPCS 86759

Antibody; rotavirus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.95 / $20.96 / $67.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.21 / $14.95 / $17.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.40 / $16.41 / $54.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.98 / $7.29 / $12.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.23 / $21.88 / $24.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.23 / $20.96 / $25.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.85 / $18.23 / $42.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.68 / $20.65 / $25.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.09 / $8.19 / $17.03