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Montana rates for HCPCS 81375

HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.91 / $232.02 / $1,419.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.79 / $769.05 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.79 / $295.79 / $295.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.07 / $375.26 / $1,258.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.07 / $320.07 / $320.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.07 / $375.26 / $1,258.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.67 / $198.67 / $320.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.71 / $92.71 / $220.74