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Montana rates for HCPCS 83002

Gonadotropin,Pituitary,Luteinizing Hormo

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $131.83 / $229.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $21.38 / $41.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $24.55 / $87,096.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $24.55 / $24.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $36.31 / $104.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $20.89 / $26.30
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $26.30 / $57.54
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $26.30 / $57.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $31.62 / $104.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $16.60 / $22.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $7.94 / $25.70