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Montana rates for HCPCS 80400

Acth Stimulation Panel Adrenal Insufficiency

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.60 / $216.60 / $257.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.29 / $39.02 / $209.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.71 / $43.71 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.71 / $43.71 / $43.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.30 / $63.61 / $96.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.04 / $46.98 / $47.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.30 / $66.44 / $96.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.36 / $32.61 / $47.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.70 / $14.09 / $44.82