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Montana rates for HCPCS 81121

Idh2 Common Variants

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.42 / $340.16 / $1,901.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.36 / $396.36 / $396.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.90 / $502.84 / $1,686.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.83 / $428.90 / $428.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$428.90 / $502.84 / $1,686.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.20 / $266.20 / $428.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.23 / $124.23 / $295.79