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Montana rates for HCPCS 78121

Red cell volume determination (separate procedure); multiple samplings

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.62 / $459.24 / $459.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.10 / $135.13 / $380.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.66 / $139.22 / $235.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.10 / $135.13 / $380.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.05 / $106.33 / $159.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.41 / $90.39 / $157.41