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Montana rates for HCPCS 87276

Iaadi Inffluenza A Virus

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.10 / $12.22 / $103.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.53 / $68,099.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.53 / $21.53 / $21.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.30 / $31.34 / $47.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.17 / $23.23 / $23.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.43 / $27.32 / $47.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.46 / $14.46 / $23.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.75 / $6.75 / $16.48