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Montana rates for HCPCS 82075

Alcohol (ethanol); breath

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $54.95 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $56.23 / $199.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $64,565.42 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $51.29 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $34.67 / $43.65
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $37.15 / $91.20
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $37.15 / $91.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $51.29 / $169.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $43.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $12.59 / $18.20