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Montana rates for HCPCS 0303U

Hem Rbc Ads Ndothl/Subndothl Ads Molec Hypoxic

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,531.87 / $2,531.87 / $2,531.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,192.35 / $3,192.35 / $3,192.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,529.63 / $3,162.03 / $3,192.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,192.35 / $3,192.35 / $3,192.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,201.62 / $2,641.94 / $3,192.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.68 / $924.68 / $2,201.62