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Montana rates for HCPCS 86384

Nitroblue tetrazolium dye test (NTD)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.65 / $87.51 / $87.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.73 / $26.54 / $40.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.83 / $19.62 / $19.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.55 / $23.14 / $40.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.25 / $12.25 / $19.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.72 / $5.72 / $15.65