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Nebraska rates for HCPCS 86759

Antibody; rotavirus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $43.65 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $15.14 / $120.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $39.81 / $77.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $27.54 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $34.67 / $42.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $21.88 / $114.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $10.96 / $19.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $37.15 / $46.77
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $16.60 / $27.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.61 / $10.96 / $19.95