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Montana rates for HCPCS 80402

ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $545.24 / $559.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.09 / $169.57 / $256.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.99 / $124.93 / $126.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.09 / $147.83 / $256.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.26 / $78.26 / $126.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.52 / $36.52 / $119.52