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Montana rates for HCPCS 86757

Antibody; Rickettsia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.87 / $17.25 / $124.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.93 / $25.93 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.93 / $25.93 / $25.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.06 / $37.72 / $57.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.27 / $27.88 / $28.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.06 / $32.90 / $57.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.42 / $19.35 / $28.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.13 / $27.05