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Montana rates for HCPCS 80074

Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsAg) (87340) Hepatitis C antibody (86803)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.28 / $326.83 / $595.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.40 / $54.77 / $71.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.82 / $63.82 / $68,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.82 / $63.82 / $63.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.06 / $92.88 / $140.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.51 / $68.15 / $69.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.26 / $80.97 / $140.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.87 / $42.87 / $69.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.58 / $65.47