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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
$117.49 / $208.93 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $15.85 / $93.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $48.98 / $91,201.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $27.54 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $16.60 / $20.42
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $19.05 / $42.66
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $19.05 / $42.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $23.99 / $81.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $12.59 / $17.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $5.89 / $16.60