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Montana rates for HCPCS 80197

Tacrolimus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.81 / $66.59 / $107.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.97 / $12.27 / $15.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.39 / $18.39 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.39 / $18.39 / $18.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.91 / $26.77 / $40.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.36 / $19.62 / $19.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.91 / $23.34 / $40.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.36 / $12.36 / $19.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $5.77 / $18.87