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Montana rates for HCPCS 80342

Antipsychotics Not Otherwise Specified 1-3

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $82,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.28 / $77.38 / $149.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.59 / $18.59 / $23.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.28 / $77.38 / $149.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.65 / $32.08 / $52.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.08 / $10.16 / $24.18