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Montana rates for HCPCS G0472

Hepatitis C antibody screening for individual at high risk and other covered indication(s)

Facilitymedian $81 · 10th–90th $47–$9330%10%20%10th90th$81Professionalmedian $43 · 10th–90th $19–$630%20%10th90th$43$10.0$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $93.33 / $933.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $38.90 / $52.48
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $162.18 / $87,096.36
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $61.66 / $61.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $95.50 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $47.86 / $60.26
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $57.54 / $141.25
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $57.54 / $141.25
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $95.50 / $263.03
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $41.69 / $57.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $19.50 / $27.54