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Montana rates for HCPCS 83001

Gonadotropin Follicle Stimulating Hormone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.16 / $116.30 / $467.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.49 / $21.37 / $32.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.90 / $24.90 / $68,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.90 / $24.90 / $24.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.87 / $54.90 / $105.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.76 / $21.06 / $26.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.01 / $36.22 / $54.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.72 / $16.72 / $23.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.80 / $7.80 / $25.54