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Montana rates for HCPCS 80201

Drug Screen Quantitative Topiramate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.20 / $34.20 / $42.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.71 / $76.65 / $76.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.97 / $15.97 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.97 / $15.97 / $15.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.28 / $23.24 / $35.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.17 / $17.04 / $17.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.28 / $20.26 / $35.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.73 / $11.92 / $17.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $16.39