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Maryland rates for HCPCS 86759

Antibody; rotavirus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $13.49 / $21.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $14.13 / $22.39
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $14.45 / $16.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $12.02 / $23.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $10.23 / $46.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $19.95 / $27.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $7.59 / $13.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $8.32 / $16.60
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $14.45 / $27.54