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Montana rates for HCPCS 86687

Antibody Htlv-I

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.02 / $13.63 / $58.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.18 / $68,099.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $17.73 / $26.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $12.91 / $13.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.19 / $15.45 / $26.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.18 / $8.39 / $13.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.82 / $3.82 / $11.54