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Montana rates for HCPCS 87804

Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza

Facilitymedian $25 · 10th–90th $21–$3550%20%40%10th90th$25Professionalmedian $22 · 10th–90th $11–$590%10%20%10th90th$22$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $104.71 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $23.44 / $61.66
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $77,624.71
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $22.39
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $32.36 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $19.05 / $23.99
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $21.38 / $50.12
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $21.38 / $50.12
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $28.18 / $93.33
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $20.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $16.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $16.60