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Montana rates for HCPCS 86684

Antibody; Haemophilus influenza

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.18 / $47.18 / $47.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.28 / $18.51 / $110.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.23 / $21.23 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.23 / $21.23 / $21.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.97 / $30.89 / $46.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.89 / $22.72 / $22.97
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.97 / $26.93 / $46.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.26 / $15.84 / $22.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.65 / $6.85 / $21.78