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Montana rates for HCPCS G0472

Hepatitis C Antibody Screening For Individual At High Risk And Other Covered Indication(S)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.64 / $123.20 / $934.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.37 / $21.31 / $69.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.11 / $62.11 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.11 / $62.11 / $62.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.53 / $136.96 / $264.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.38 / $48.38 / $60.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.53 / $136.96 / $264.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.72 / $41.72 / $55.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.16 / $19.47 / $46.35