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Montana rates for HCPCS 0316U

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$862.50 / $862.50 / $862.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.06 / $27.06 / $27.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $26.85 / $27.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.06 / $27.06 / $27.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.66 / $22.39 / $27.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.84 / $7.84 / $18.66