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Montana rates for HCPCS 80186

Phenytoin; free

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.82 / $88.48 / $88.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.44 / $18.44 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.44 / $18.44 / $18.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $26.83 / $40.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.52 / $19.95 / $20.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $23.39 / $40.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.38 / $12.38 / $19.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.78 / $5.78 / $13.76