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Montana rates for HCPCS 0311U

Infectious disease (bacterial), quantitative antimicrobial susceptibility reported as phenotypic minimum inhibitory concentration (MIC)-based antimicrobial susceptibility for each organism identified

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.46 / $21.46 / $21.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.72 / $11.72 / $11.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.50 / $11.72 / $11.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.72 / $11.72 / $11.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.08 / $9.69 / $11.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.39 / $8.08