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Montana rates for HCPCS 86771

Antibody Shigella

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.13 / $102.13 / $102.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.15 / $93.00 / $157.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.50 / $47.74 / $72.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.02 / $35.11 / $35.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.17 / $41.62 / $72.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.03 / $22.03 / $35.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.55 / $10.28 / $24.48