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Montana rates for HCPCS 87290

Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus

Facilitymedian $21 · 10th–90th $17–$910%20%10th90th$21Professionalmedian $13 · 10th–90th $9–$890%20%10th90th$13$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
$10.00 / $12.02 / $89.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $64,565.42 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $17.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $22.91 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $15.14 / $19.50
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $18.20 / $40.74
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $18.20 / $40.74
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $22.91 / $75.86
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $19.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $13.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $6.92 / $16.60