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Montana rates for HCPCS 87320

Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; Chlamydia trachomatis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.25 / $96.45 / $96.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.75 / $29.25 / $44.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.17 / $21.17 / $21.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.43 / $25.50 / $44.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.50 / $13.50 / $21.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.30 / $6.30 / $16.48