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Montana rates for HCPCS 87428

Iaad Ia Sarscov & Influenza Virus Types A&B

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.67 / $60.67 / $192.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.48 / $73.48 / $207.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.85 / $27.85 / $84.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.14 / $34.40 / $81.92