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Montana rates for HCPCS 81003

Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.96 / $42.96 / $87.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.68 / $14.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.02 / $77,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.38 / $6.65 / $12.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.53 / $2.48 / $3.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.27 / $4.38 / $6.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.35 / $3.09