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Montana rates for HCPCS 87625

Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.43 / $116.43 / $116.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.28 / $40.60 / $148.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.34 / $141.28 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.34 / $54.34 / $54.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.80 / $68.94 / $231.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.80 / $58.80 / $58.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.80 / $68.94 / $231.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.50 / $36.50 / $58.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.03 / $17.03 / $40.54