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Montana rates for HCPCS 86890

Autologous blood or component, collection processing and storage; predeposited

Facilitymedian $166 · 10th–90th $162–$4790%50%10th90th$166Professionalmedian $107 · 10th–90th $55–$1620%10%20%10th90th$107$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $107.15 / $114.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $218.78 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $85.11 / $104.71
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162.18 / $165.96 / $478.63
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $165.96 / $478.63
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $173.78 / $630.96
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $134.90 / $165.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $43.65 / $69.18