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Montana rates for HCPCS 86353

Lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.36 / $1,071.36 / $1,071.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.38 / $315.26 / $315.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.70 / $68,099.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.70 / $65.70 / $65.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.09 / $95.61 / $144.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.68 / $70.73 / $71.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.09 / $83.35 / $144.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.13 / $44.13 / $71.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.59 / $21.19 / $67.39