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Montana rates for HCPCS 86663

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.42 / $40.79 / $67.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.43 / $11.89 / $18.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.57 / $17.57 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.57 / $17.57 / $17.57
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 / $11.81 / $19.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.51 / $5.51 / $18.03