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Montana rates for HCPCS 86162

Complement; total hemolytic (CH50)

Facilitymedian $34 · 10th–90th $20–$2140%20%10th90th$34Professionalmedian $19 · 10th–90th $15–$760%20%40%10th90th$19$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $50.12 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $19.05 / $75.86
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $70.79 / $87,096.36
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $27.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $34.67 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $23.44 / $29.51
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $27.54 / $61.66
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $27.54 / $61.66
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $34.67 / $114.82
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $29.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $20.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $11.48 / $28.18