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Montana rates for HCPCS 38204

Mgmt Rcp Hematop Progenitor Cell Donor &Acquisj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.02 / $103.36 / $537.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.21 / $157.21 / $157.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.81 / $157.21 / $169.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.51 / $182.00 / $187.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.43 / $143.16 / $206.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.79 / $175.80 / $274.70