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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
$208.71 / $540.54 / $734.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.34 / $229.95 / $1,655.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.98 / $344.98 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.98 / $344.98 / $344.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.30 / $437.67 / $1,467.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.92 / $373.30 / $373.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.30 / $437.67 / $1,467.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.71 / $231.71 / $373.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.13 / $108.13 / $257.45