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Montana rates for HCPCS 86665

Antibody; Epstein-Barr (EB) virus, viral capsid (VCA)

Facilitymedian $32 · 10th–90th $18–$2340%10%20%10th90th$32Professionalmedian $27 · 10th–90th $13–$930%10%10th90th$27$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
$16.60 / $144.54 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $30.90 / $97.72
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $63.10 / $87,096.36
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $24.55
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $30.90 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $20.42 / $26.30
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $25.70 / $56.23
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $25.70 / $56.23
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $30.90 / $102.33
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $26.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $18.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $10.47 / $25.12