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Montana rates for HCPCS 0316U

Borrelia burgdorferi (Lyme disease), OspA protein evaluation, urine

Facilitymedian $23 · 10th–90th $19–$560%20%40%10th90th$23Professionalmedian $17 · 10th–90th $13–$560%10%20%10th90th$17$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $16.98 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $26.92 / $26.92
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $23.44 / $56.23
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $23.44 / $56.23
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $26.92
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $23.44 / $85.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $22.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $18.62