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Montana rates for HCPCS 87902

Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $741.31 / $831.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $251.19 / $954.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $346.74 / $91,201.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $346.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $436.52 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $177.83 / $371.54
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $363.08 / $812.83
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $363.08 / $812.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $436.52 / $1,479.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $407.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $107.15 / $257.04