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Montana rates for HCPCS 78110

Plasma Vol Radiopharm Vol Dilution Spx 1 Sample

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.33 / $410.21 / $410.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.78 / $129.30 / $363.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.48 / $108.84 / $211.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.78 / $129.30 / $363.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.95 / $94.53 / $152.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.05 / $83.09 / $144.69