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Montana rates for HCPCS 82104

Alpha-1-Antitrypsin Phenotype

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.01 / $17.01 / $90.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.08 / $16.63 / $92.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.38 / $19.38 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.38 / $19.38 / $19.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.97 / $28.20 / $42.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $20.97 / $21.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.97 / $24.58 / $42.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.01 / $14.46 / $20.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.07 / $6.07 / $19.88