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Montana rates for HCPCS 80201

Topiramate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $42.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $10.96 / $79.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $41.69 / $91,201.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $15.85 / $15.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $20.42 / $67.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $13.49 / $17.38
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $16.98 / $37.15
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $16.98 / $37.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $20.42 / $67.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $10.72 / $17.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.13 / $16.22