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Montana rates for HCPCS 80184

Phenobarbital

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.30 / $15.30 / $40.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.60 / $98.38 / $98.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.50 / $20.50 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.50 / $20.50 / $20.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.19 / $29.84 / $45.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.83 / $21.68 / $22.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.64 / $26.01 / $45.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.77 / $13.77 / $22.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.43 / $6.43 / $15.74