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Montana rates for HCPCS 86789

Antibody; West Nile virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.44 / $19.44 / $1,379.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.56 / $12.84 / $92.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.28 / $19.28 / $91,999.99
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
$20.87 / $28.06 / $42.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.95 / $14.39 / $20.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.04 / $6.04 / $19.79