go back

Maine rates for HCPCS 86759

Antibody; rotavirus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $18.20 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $14.13 / $58.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $123.03 / $131.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $10.96 / $17.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $18.62 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $18.20 / $25.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $18.20 / $21.88
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $18.20 / $29.51
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $18.20 / $58.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $17.78 / $28.18