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Montana rates for HCPCS 86804

Hepatitis C Antibody Confirmatory Test

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.80 / $99.60 / $99.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.76 / $20.76 / $20.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.46 / $30.21 / $45.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $22.20 / $22.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.42 / $26.33 / $45.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.94 / $13.94 / $22.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.51 / $6.51 / $21.30