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Montana rates for HCPCS 87521

Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $32.36 / $204.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $46,773.51 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.29 / $60.26 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $51.29
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $50.12 / $109.65
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $50.12 / $109.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $60.26 / $104.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $31.62 / $56.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $35.48