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Montana rates for HCPCS 87380

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; hepatitis, delta agent

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.11 / $118.06 / $118.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.60 / $24.60 / $24.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.62 / $35.79 / $54.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.23 / $26.33 / $26.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.86 / $31.21 / $54.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.52 / $16.52 / $26.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.71 / $7.71 / $22.94