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Montana rates for HCPCS 86703

Antibody; HIV-1 and HIV-2, single result

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.80 / $98.89 / $248.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.41 / $16.41 / $20.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.37 / $18.37 / $68,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.37 / $18.37 / $18.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.88 / $26.73 / $40.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.36 / $19.62 / $19.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.88 / $23.31 / $40.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.34 / $13.71 / $19.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.76 / $7.84 / $18.85