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Montana rates for HCPCS 80202

Vancomycin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $13.49 / $331.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $12.02 / $87.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $46.77 / $91,201.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $18.20 / $18.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $22.91 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $15.85 / $19.50
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $19.05 / $41.69
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $19.05 / $41.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $22.91 / $77.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $12.30 / $19.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $5.89 / $18.62