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New Hampshire rates for HCPCS 86759

Antibody; rotavirus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $47.86 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.02 / $58.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $35.48 / $104.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $11.75 / $34.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $69.18 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $9.55 / $25.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $31.62 / $58.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $10.96 / $40.74