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Montana rates for HCPCS 86663

Antibody; Epstein-Barr (EB) virus, early antigen (EA)

Facilitymedian $22 · 10th–90th $16–$680%20%10th90th$22Professionalmedian $12 · 10th–90th $9–$350%20%40%10th90th$12$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
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $35.48 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $12.02 / $35.48
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $87,096.36
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $17.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $22.39 / $74.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $15.14 / $19.05
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $18.62 / $40.74
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $18.62 / $40.74
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $22.39 / $74.13
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $19.05
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $13.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $7.59 / $18.20