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Montana rates for HCPCS 80422

Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.98 / $296.23 / $296.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.80 / $89.84 / $136.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.64 / $66.08 / $66.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.80 / $78.31 / $136.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.46 / $46.07 / $66.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.35 / $19.35 / $63.30