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Montana rates for HCPCS 87187

Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each plate (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.20 / $258.29 / $258.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.25 / $78.33 / $118.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.14 / $57.82 / $58.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.06 / $68.29 / $118.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.15 / $36.15 / $58.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.17 / $40.17 / $40.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.93 / $16.87 / $40.17