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Montana rates for HCPCS 87804

Iaadiadoo Influenza

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.76 / $103.79 / $352.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.85 / $13.56 / $59.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.18 / $22.18 / $81,499.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.18 / $22.18 / $22.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.83 / $48.91 / $94.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.17 / $19.00 / $23.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.43 / $32.27 / $48.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.90 / $14.90 / $20.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.00 / $14.00 / $16.48