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Montana rates for HCPCS 86694

Antibody Herpes Smplx Non-Specific Type Test

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.86 / $38.86 / $86.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.35 / $18.93 / $22.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.28 / $19.28 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.28 / $19.28 / $19.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.87 / $28.06 / $42.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $20.65 / $20.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.96 / $24.46 / $42.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.95 / $14.39 / $20.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.04 / $6.04 / $19.79