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Texas rates for HCPCS 86759

Antibody Rotavirus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.78 / $34.02 / $86.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.21 / $13.49 / $21.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.30 / $56.70 / $102.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $9.66 / $16.22
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.20 / $18.23 / $18.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.74 / $30.58 / $80.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $9.88 / $27.88
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.77 / $88.72 / $116.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.28 / $18.23 / $21.88
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.41 / $18.23 / $18.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.28 / $18.23 / $42.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $11.06 / $19.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.55 / $7.74 / $11.85
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.29 / $18.23