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Montana rates for HCPCS 86738

Antibody Mycoplsm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.80 / $43.80 / $180.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.47 / $23.06 / $24.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.73 / $17.73 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.73 / $17.73 / $17.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.20 / $25.82 / $39.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.02 / $19.10 / $19.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.20 / $22.51 / $39.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.92 / $13.24 / $19.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.56 / $5.56 / $18.20