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Washington rates for HCPCS 86759

Antibody Rotavirus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.14 / $29.04 / $100.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.21 / $17.14 / $28.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.14 / $35.54 / $116.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.29 / $15.21 / $29.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.14 / $26.78 / $47.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.69 / $20.65 / $26.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.97 / $17.59 / $19.34
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.23 / $19.14 / $40.24
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.23 / $27.35 / $50.13
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.41 / $16.41 / $16.41
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.96 / $29.92 / $50.13
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.67 / $18.23 / $49.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.56 / $7.66 / $18.23
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.19 / $8.19 / $9.44