go back

Montana rates for HCPCS 86753

Antibody; protozoa, not elsewhere specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $42.66 / $42.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $12.02 / $45.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $43.65 / $91,201.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $16.60 / $16.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $20.89 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $14.13 / $17.78
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $17.38 / $38.02
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $17.38 / $38.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $20.89 / $70.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.22 / $17.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.37 / $16.98