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Montana rates for HCPCS 82103

Alpha-1-Antitrypsin Total

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.38 / $38.95 / $111.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.41 / $11.96 / $15.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.01 / $18.01 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.01 / $18.01 / $18.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.48 / $26.21 / $39.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.19 / $19.48 / $19.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.48 / $22.85 / $39.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.10 / $13.44 / $19.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.81 / $23.01