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Montana rates for HCPCS 81267

Chimerism W/Comp To Baseline W/O Cell Selection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.54 / $570.54 / $570.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.58 / $1,333.97 / $1,333.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$722.80 / $68,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.82 / $352.68 / $1,182.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.82 / $300.82 / $300.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.82 / $352.68 / $1,182.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.71 / $186.71 / $300.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.13 / $87.13 / $207.46