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Ohio rates for HCPCS 86759

Antibody; rotavirus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.58 / $31.19 / $56.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.58 / $14.58 / $26.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.10 / $20.05 / $32.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.29 / $7.29 / $18.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.93 / $18.23 / $24.61
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.50 / $23.70 / $24.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.85 / $18.77 / $62.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.36 / $11.85 / $25.81
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.99 / $18.77 / $70.19
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.36 / $9.56 / $17.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.67 / $15.03 / $21.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.54 / $10.94 / $21.88