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Montana rates for HCPCS 87197

Serum bactericidal titer (Schlichter test)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.27 / $96.58 / $96.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.78 / $29.29 / $44.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.38 / $21.17 / $21.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.78 / $25.53 / $44.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.52 / $15.02 / $21.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.31 / $6.49 / $20.99