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Montana rates for HCPCS 86162

Complement; total hemolytic (CH50)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.47 / $44.58 / $215.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.59 / $18.43 / $130.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.23 / $27.23 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.23 / $27.23 / $27.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.46 / $39.61 / $60.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.95 / $29.43 / $29.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.99 / $34.54 / $60.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.29 / $20.32 / $29.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.52 / $8.52 / $27.93