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Montana rates for HCPCS 80415

Chornc Gonad Stimj Pnl Total Estradiol Response

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.27 / $359.37 / $359.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.89 / $74.89 / $74.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.04 / $108.99 / $165.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.90 / $80.54 / $81.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.04 / $95.01 / $165.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.30 / $55.88 / $81.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.47 / $23.47 / $76.81