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Montana rates for HCPCS 80203

Drug Screen Quantitative Zonisamide

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.25 / $122.54 / $588.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.24 / $85.20 / $85.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.76 / $17.76 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.76 / $17.76 / $17.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.21 / $25.84 / $39.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $19.10 / $19.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.21 / $25.84 / $39.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.93 / $13.25 / $19.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.57 / $5.57 / $18.09