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Montana rates for HCPCS 90686

Iiv4 Vacc Presrv Free 0.5 Ml Dos For Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.24 / $53.36 / $77.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $26.41 / $47.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.86 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.55 / $35.22 / $39.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.10 / $22.10 / $35.22
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.55 / $35.22 / $39.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.68 / $25.18 / $39.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.26 / $25.26 / $26.82