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Montana rates for HCPCS 87475

Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi, direct probe technique

Facilitymedian $30 · 10th–90th $20–$630%20%10th90th$30Professionalmedian $19 · 10th–90th $12–$630%10%20%10th90th$19$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $18.20 / $131.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $33.88 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $28.84
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $28.18 / $63.10
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $28.18 / $63.10
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $38.90 / $114.82
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $32.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $11.48 / $28.18