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South Carolina rates for HCPCS 86759

Antibody Rotavirus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.76 / $14.22 / $106.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.22 / $14.22 / $15.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.99 / $56.53 / $99.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.23 / $24.00 / $33.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.13 / $52.85 / $104.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.19 / $8.38 / $25.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.76 / $18.43 / $25.80
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $18.26 / $24.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.02 / $10.02 / $14.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.66 / $10.94 / $21.88