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Montana rates for HCPCS 86305

Human epididymis protein 4 (HE4)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.93 / $133.81 / $133.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.89 / $27.89 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.89 / $27.89 / $27.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.17 / $40.58 / $61.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.29 / $29.94 / $30.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.17 / $40.58 / $61.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.73 / $18.73 / $30.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.74 / $8.74 / $28.61