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Montana rates for HCPCS 78120

Red cell volume determination (separate procedure); single sampling

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.19 / $420.31 / $420.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.78 / $129.30 / $363.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.23 / $111.47 / $216.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.78 / $129.30 / $363.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.81 / $96.90 / $156.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.58 / $83.09 / $144.69