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Montana rates for HCPCS 86804

Hepatitis C antibody; confirmatory test (eg, immunoblot)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $15.14 / $23.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $53.70 / $91,201.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $20.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $26.30 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $17.78 / $22.39
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $21.88 / $47.86
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $21.88 / $47.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $26.30 / $89.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $13.80 / $22.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $6.76 / $21.38