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Montana rates for HCPCS 86658

Antibody; enterovirus (eg, coxsackie, echo, polio)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.43 / $265.43 / $265.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.62 / $14.98 / $94.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.46 / $17.46 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.46 / $17.46 / $17.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.89 / $25.41 / $38.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.02 / $18.59 / $18.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.89 / $22.15 / $38.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.73 / $11.73 / $18.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.47 / $5.47 / $17.91