go back

Maine rates for HCPCS 86759

Antibody Rotavirus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.23 / $18.23 / $45.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.77 / $14.77 / $18.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.64 / $24.34 / $133.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.29 / $7.29 / $15.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.54 / $18.28 / $30.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.95 / $19.23 / $25.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.23 / $18.23 / $22.08
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.23 / $18.23 / $45.58
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.77 / $14.77 / $18.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.78 / $10.94 / $26.06