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Montana rates for HCPCS 83916

Oligoclonal immune (oligoclonal bands)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $72.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $25.12 / $181.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $95.50 / $91,201.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $36.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $46.77 / $154.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $31.62 / $39.81
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $35.48 / $83.18
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $35.48 / $83.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $46.77 / $154.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $24.55 / $39.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $11.48 / $27.54