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Minnesota rates for HCPCS 86759

Antibody Rotavirus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.14 / $17.14 / $17.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.76 / $16.95 / $17.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.23 / $48.22 / $108.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.58 / $18.23 / $18.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.93 / $66.89 / $160.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.86 / $26.23 / $35.20
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.56 / $61.15 / $126.70
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.65 / $20.65 / $32.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.23 / $26.72 / $116.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.66 / $11.61 / $38.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.66 / $11.61 / $38.82