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Montana rates for HCPCS 80185

Phenytoin; total

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $42.66 / $42.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $12.02 / $48.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.78 / $45.71 / $91,201.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $17.78 / $17.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $22.39 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $15.14 / $19.05
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $18.62 / $40.74
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $18.62 / $40.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $22.39 / $75.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $19.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $5.75 / $18.20