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Montana rates for HCPCS 86664

Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA)

Facilitymedian $27 · 10th–90th $14–$870%10%20%10th90th$27Professionalmedian $14 · 10th–90th $11–$420%20%40%10th90th$14$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
$12.30 / $41.69 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $14.13 / $41.69
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $53.70 / $87,096.36
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $20.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $25.70 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $17.38 / $22.39
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $21.88 / $46.77
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $21.88 / $46.77
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $25.70 / $87.10
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $22.39
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $8.71 / $21.38