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Montana rates for HCPCS 82135

Aminolevulinic Acid Delta

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.92 / $105.77 / $105.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.04 / $22.04 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.04 / $22.04 / $22.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.85 / $32.08 / $48.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.23 / $23.75 / $23.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.85 / $27.97 / $48.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.81 / $14.81 / $23.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.91 / $6.91 / $22.62