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Montana rates for HCPCS 86692

Antibody; hepatitis, delta agent

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.73 / $110.34 / $110.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.99 / $22.99 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.99 / $22.99 / $22.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.88 / $33.46 / $50.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.74 / $24.78 / $24.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.88 / $29.17 / $50.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.44 / $15.44 / $24.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.21 / $7.42 / $23.59