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Montana rates for HCPCS 83916

Oligoclonal Immune

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.42 / $64.42 / $73.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.50 / $176.12 / $176.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.70 / $36.70 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.70 / $36.70 / $36.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.72 / $53.41 / $80.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.78 / $39.72 / $39.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.21 / $46.56 / $80.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.65 / $24.65 / $39.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.50 / $11.50 / $27.64