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Montana rates for HCPCS G0499

Hepatitis B screening in nonpregnant, high-risk individual includes hepatitis B surface antigen (HBSAG), antibodies to HBSAG (anti-HBS) and antibodies to hepatitis B core antigen (anti-HBC), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive HBSAG result

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.67 / $32.51 / $42.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.88 / $68,099.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.88 / $37.88 / $37.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.99 / $40.99 / $40.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $36.56 / $40.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.99 / $40.99 / $40.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.44 / $28.27 / $35.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.87 / $11.87 / $34.90