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Louisiana rates for HCPCS 86759

Antibody; rotavirus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.32 / $25.12 / $91.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.92 / $20.23 / $23.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.17 / $32.90 / $53.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.67 / $20.05 / $22.75
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.23 / $18.23 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.85 / $35.59 / $85.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.47 / $8.82 / $25.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.38 / $9.11 / $26.96