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Montana rates for HCPCS 86645

Antibody; cytomegalovirus (CMV), IgM

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $61.66 / $169.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $15.14 / $45.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $58.88 / $91,201.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $22.39 / $22.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $28.84 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $19.50 / $24.55
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $23.99 / $52.48
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $23.99 / $52.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $28.84 / $95.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $24.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.24 / $22.91