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Montana rates for HCPCS 86364

Tissue Transglutaminase Ea Immunoglobulin Class

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.00 / $82.09 / $241.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.90 / $10.31 / $20.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.45 / $15.45 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.45 / $15.45 / $15.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.72 / $16.72 / $16.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.22 / $16.52 / $16.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.72 / $16.72 / $16.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.38 / $10.38 / $16.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $4.84 / $11.53