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Washington rates for HCPCS 86759

Antibody; rotavirus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $33.88 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $14.13 / $34.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $40.74 / $47.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $19.50 / $26.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $15.85 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $18.20 / $27.54
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $31.62 / $54.95
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $16.60 / $21.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $27.54 / $50.12
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $16.60 / $18.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $21.88 / $21.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $7.59 / $18.62
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.13 / $33.11