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Montana rates for HCPCS 83003

Growth hormone, human (HGH) (somatotropin)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $117.49 / $144.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $15.14 / $44.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $57.54 / $91,201.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $22.39 / $22.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $28.18 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $19.50 / $23.99
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $23.44 / $51.29
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $23.44 / $51.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $28.18 / $95.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $23.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.24 / $22.91