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Montana rates for HCPCS 86665

Antibody Epstein-Barr Eb Virus Viral Capsid Vca

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.73 / $112.81 / $374.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.20 / $30.86 / $32.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.31 / $24.31 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.31 / $24.31 / $24.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $35.36 / $53.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.42 / $25.81 / $26.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $30.84 / $53.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.32 / $18.14 / $26.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.62 / $7.84 / $24.94