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Montana rates for HCPCS 86828

Antibody to human leukocyte antigens (HLA), solid phase assays (eg, microspheres or beads, ELISA, flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and Class II HLA antigens

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$518.57 / $518.57 / $518.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.81 / $412.74 / $412.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.01 / $68,099.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.08 / $125.17 / $189.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.22 / $91.89 / $93.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.08 / $125.17 / $189.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.77 / $57.77 / $93.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.64 / $26.96 / $64.19