go back

Montana rates for HCPCS 87517

Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.55 / $122.55 / $470.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.34 / $38.26 / $275.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.41 / $149.27 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.41 / $57.41 / $57.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.12 / $72.83 / $244.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.43 / $62.12 / $62.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.12 / $72.83 / $244.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.56 / $38.56 / $62.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.98 / $17.98 / $42.84