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Montana rates for HCPCS 87636

Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) and influenza virus types A and B, multiplex amplified probe technique

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $304.87 / $470.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.17 / $142.62 / $213.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.12 / $191.12 / $77,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.12 / $191.12 / $191.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.17 / $74.17 / $74.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.37 / $128.37 / $178.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.17 / $66.69 / $158.79