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Montana rates for HCPCS 86788

Antibody West Nile Virus Igm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.44 / $19.44 / $129.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.69 / $15.02 / $108.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.58 / $22.58 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.58 / $22.58 / $22.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.43 / $32.86 / $49.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.57 / $24.26 / $24.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.43 / $32.86 / $49.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.17 / $16.85 / $24.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $23.15