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Montana rates for HCPCS 80176

Drug Screen Quantitative Lidocaine

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.89 / $17.57 / $94.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.30 / $28.65 / $43.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.03 / $21.17 / $21.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.30 / $24.97 / $43.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.22 / $14.69 / $21.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.17 / $20.19