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New Jersey rates for HCPCS 86759

Antibody; rotavirus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $25.70 / $112.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $14.13 / $25.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $40.74 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.88 / $25.70
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $9.12 / $14.79
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $9,549.93 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.59 / $16.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.51 / $18.20 / $37.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $10.96 / $19.05