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Montana rates for HCPCS 86704

Hepatitis B Core Antibody Hbcab Total

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.30 / $94.35 / $163.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.50 / $14.41 / $18.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.14 / $16.14 / $68,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.14 / $16.14 / $16.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.47 / $23.50 / $35.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.34 / $17.04 / $17.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.47 / $20.49 / $35.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.85 / $10.85 / $17.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $6.89 / $16.57