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Wyoming rates for HCPCS 86759

Antibody; rotavirus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $15.14 / $18.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $22.39 / $26.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $28.18 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $9.12 / $25.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $7.76 / $18.62