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Tennessee rates for HCPCS 86759

Antibody; rotavirus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.67 / $25.29 / $57.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.67 / $14.40 / $16.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.41 / $18.00 / $18.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.67 / $39.43 / $57.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.18 / $10.63 / $25.81
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.66 / $88.72 / $116.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.29 / $10.78 / $18.68