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Montana rates for HCPCS 0176U

Cytolethal distending toxin B (CdtB) and vinculin IgG antibodies by immunoassay (ie, ELISA)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $60.26 / $61.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $91.20 / $93.33
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $79.43 / $194.98
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $79.43 / $194.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $79.43 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $64.57