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Montana rates for HCPCS 87483

Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus agalactiae, enterovirus, human parechovirus, herpes simplex virus type 1 and 2, human herpesvirus 6, cytomegalovirus, varicella zoster virus, Cryptococcus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$513.00 / $848.15 / $2,859.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.30 / $2,679.90 / $2,679.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,452.07 / $68,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$604.33 / $708.53 / $2,375.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.99 / $604.33 / $604.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$604.33 / $708.53 / $2,375.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.10 / $375.10 / $604.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.05 / $175.05 / $416.78