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Montana rates for HCPCS 0058U

Oncology (Merkel cell carcinoma), detection of antibodies to the Merkel cell polyoma virus oncoprotein (small T antigen), serum, quantitative

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $302.00 / $316.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $66,069.34 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $467.74 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $467.74 / $467.74
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $489.78 / $977.24
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $489.78 / $977.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $467.74 / $707.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $288.40 / $467.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $134.90 / $323.59