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Montana rates for HCPCS 82077

Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $95.50 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $15.85 / $114.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $60.26 / $91,201.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $22.91 / $22.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $19.95 / $25.12
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $21.38 / $52.48
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $21.38 / $52.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $25.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $17.38