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Montana rates for HCPCS 86711

Antibody; JC (John Cunningham) virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.00 / $44.00 / $44.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.42 / $108.60 / $108.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.63 / $22.63 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.63 / $22.63 / $22.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.49 / $32.94 / $49.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $24.26 / $24.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.49 / $32.94 / $49.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.20 / $15.20 / $24.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.09 / $7.09 / $19.79