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Michigan rates for HCPCS 86759

Antibody Rotavirus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.32 / $17.32 / $134.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.95 / $17.32 / $17.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.32 / $20.62 / $36.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.30 / $13.67 / $18.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.14 / $20.65 / $25.81
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.32 / $17.32 / $43.95
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.32 / $17.55 / $22.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.59 / $15.10 / $20.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.66 / $10.88 / $18.43