go back

Pennsylvania rates for HCPCS 86759

Antibody; rotavirus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.77 / $49.92 / $76.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.81 / $14.77 / $75.29
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.48 / $86.33 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.22 / $14.22 / $14.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.98 / $23.70 / $60.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.23 / $20.65 / $27.39
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.39 / $14.58 / $24.68
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.56 / $34.26 / $96.69
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.77 / $49.57 / $76.23
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.21 / $14.95 / $75.29
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.14 / $24.28 / $60.85
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.23 / $20.65 / $25.81
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.23 / $18.23 / $18.23
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.04 / $18.23 / $18.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.66 / $10.94 / $33.36