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Montana rates for HCPCS 86762

Antibody; rubella

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.86 / $76.95 / $228.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.95 / $13.07 / $18.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.28 / $19.28 / $81,499.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.28 / $19.28 / $19.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.87 / $28.06 / $42.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $20.65 / $20.87
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.96 / $24.46 / $42.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.95 / $12.95 / $20.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.04 / $6.04 / $19.79