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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 / $21.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.03 / $13.67 / $18.23
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.18 / $14.58 / $19.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.82 / $11.98 / $23.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.82 / $14.01 / $25.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.23 / $22.79 / $27.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.66 / $8.19 / $13.85
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $9.11 / $14.49