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Montana rates for HCPCS 86384

Nitroblue tetrazolium dye test (NTD)

Facilitymedian $20 · 10th–90th $13–$420%20%10th90th$20Professionalmedian $13 · 10th–90th $9–$890%10%20%10th90th$13$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.02 / $89.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $22.91 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $15.85 / $19.95
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $18.20 / $41.69
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $18.20 / $41.69
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $22.91 / $77.62
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $19.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $13.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $6.46 / $15.85