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Montana rates for HCPCS 87400

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; Influenza, A or B, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.75 / $210.20 / $255.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.85 / $13.67 / $122.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.93 / $18.93 / $68,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.93 / $18.93 / $18.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.20 / $41.75 / $80.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.17 / $16.52 / $20.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.43 / $27.55 / $41.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.72 / $12.72 / $17.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.93 / $5.93 / $24.19