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Montana rates for HCPCS 82652

1 25 Dihydroxy Includes Fractions If Performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.75 / $103.93 / $446.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.65 / $34.27 / $57.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.59 / $51.59 / $68,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.59 / $51.59 / $51.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.83 / $75.08 / $113.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.54 / $55.24 / $55.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.83 / $65.45 / $113.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.65 / $38.50 / $55.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.17 / $16.17 / $53.78