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Montana rates for HCPCS 81005

Urinalysis Qual/Semiquant Except Immunoassays

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $2.58 / $3.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.91 / $68,099.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.91 / $2.91 / $2.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.15 / $4.23 / $6.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.53 / $3.10 / $3.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.15 / $3.69 / $6.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.17 / $3.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $2.98