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Nebraska rates for HCPCS 86759

Antibody Rotavirus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.89 / $46.08 / $67.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.03 / $12.03 / $117.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $39.40 / $76.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.85 / $27.71 / $29.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.16 / $25.81 / $40.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.94 / $22.86 / $116.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.54 / $10.94 / $23.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.16 / $25.52 / $47.30
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.78 / $31.77 / $47.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.66 / $10.94 / $20.05