go back

Montana rates for HCPCS 86215

Deoxyribonuclease, antibody

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.95 / $33.95 / $92.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.80 / $12.01 / $85.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.76 / $17.76 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.76 / $17.76 / $17.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.21 / $25.84 / $39.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.19 / $19.10 / $19.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.21 / $22.53 / $39.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.93 / $13.25 / $19.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.57 / $5.57 / $18.21