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Montana rates for HCPCS 86625

Antibody Campylobacter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.09 / $84.36 / $84.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.02 / $25.58 / $38.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.02 / $19.02 / $19.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.02 / $22.30 / $38.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.81 / $13.12 / $19.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.51 / $5.67 / $18.03