go back

Montana rates for HCPCS 87807

Iaadiadoo Respiratory Synctial Virus

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.10 / $12.22 / $67.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.55 / $17.55 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.55 / $17.55 / $17.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.64 / $38.71 / $74.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.17 / $14.87 / $18.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.43 / $25.55 / $38.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.79 / $11.79 / $16.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $5.50 / $16.48