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Montana rates for HCPCS 87389

Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.65 / $90.75 / $166.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.78 / $24.08 / $47.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.27 / $32.27 / $68,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.27 / $32.27 / $32.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.11 / $71.16 / $137.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.50 / $27.67 / $34.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.11 / $71.16 / $137.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.67 / $21.67 / $30.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $10.11 / $24.08