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Rhode Island rates for HCPCS 86759

Antibody Rotavirus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.60 / $39.53 / $104.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.73 / $14.95 / $14.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.95 / $21.47 / $26.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.57 / $13.67 / $25.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.26 / $31.48 / $55.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.48 / $14.58 / $25.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $10.94 / $26.09