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Montana rates for HCPCS 81377

HLA Class II typing, low resolution (eg, antigen equivalents); one antigen equivalent, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $562.34 / $645.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $91.20 / $630.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $691.83 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $125.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $162.18 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $138.04
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $141.25 / $288.40
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $141.25 / $288.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $162.18 / $537.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $91.20 / $151.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $95.50