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Massachusetts rates for HCPCS 86759

Antibody Rotavirus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.57 / $35.09 / $64.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.89 / $12.57 / $26.35
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.47 / $31.72 / $116.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.29 / $18.23 / $40.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.12 / $41.77 / $73.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.87 / $17.14 / $18.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.51 / $22.28 / $45.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.58 / $14.58 / $27.88
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.00 / $3,472.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.14 / $26.14 / $30.75
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.23 / $25.27 / $58.70
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.72 / $116.00 / $116.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $10.94 / $27.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $10.94 / $27.84