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Montana rates for HCPCS 87563

Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium, amplified probe technique

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $162.18 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $32.36 / $81.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $46.77 / $91,201.08
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
$51.29 / $51.29 / $51.29
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $45.71 / $107.15
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $45.71 / $107.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $60.26 / $199.53
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