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Montana rates for HCPCS 86664

Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.58 / $41.28 / $106.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.01 / $13.76 / $21.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.49 / $20.49 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.49 / $20.49 / $20.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.17 / $29.82 / $45.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.55 / $21.68 / $22.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.17 / $25.99 / $45.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.76 / $15.29 / $22.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.42 / $6.42 / $21.03