go back

Montana rates for HCPCS 80220

Drug Assay Hydroxychloroquine

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.44 / $21.44 / $21.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.98 / $68,099.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.98 / $24.98 / $24.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.03 / $27.03 / $27.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $26.85 / $27.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.03 / $27.03 / $27.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.78 / $16.78 / $27.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.83 / $7.83 / $18.64