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Montana rates for HCPCS 86403

Particle agglutination; screen, each antibody

Facilitymedian $18 · 10th–90th $14–$780%20%10th90th$18Professionalmedian $13 · 10th–90th $8–$280%20%10th90th$13$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$7.94 / $12.88 / $27.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $46,773.51 / $91,201.08
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $19.50 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $13.18 / $16.60
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $15.49 / $34.67
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $15.49 / $34.67
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $19.50 / $66.07
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $16.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $11.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $8.32 / $14.13