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Utah rates for HCPCS 86759

Antibody Rotavirus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.36 / $54.29 / $71.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.36 / $13.92 / $20.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.58 / $16.03 / $50.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.26 / $20.65 / $25.81
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.23 / $20.96 / $73.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.95 / $14.93 / $21.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.66 / $7.80 / $10.94