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Montana rates for HCPCS 87426

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; severe acute respiratory syndrome coronavirus (eg, SARS-CoV, SARS-CoV-2 [COVID-19])

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.33 / $77.70 / $82.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.01 / $45.23 / $88.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.34 / $47.34 / $81,499.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.34 / $47.34 / $47.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.37 / $40.60 / $50.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.32 / $42.40 / $55.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.84 / $18.95 / $45.11