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Montana rates for HCPCS 87103

Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood

Facilitymedian $28 · 10th–90th $16–$1170%20%40%10th90th$28Professionalmedian $19 · 10th–90th $14–$680%20%10th90th$19$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

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
$15.14 / $19.05 / $134.90
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $70.79 / $87,096.36
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $27.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $34.67 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $23.44 / $29.51
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $25.70 / $61.66
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $25.70 / $61.66
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $34.67 / $117.49
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $29.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $20.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $8.51 / $12.59