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Montana rates for HCPCS 83014

Hpylori Drug Administration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.14 / $60.14 / $60.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.85 / $9.40 / $11.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.53 / $10.53 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.53 / $10.53 / $10.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.40 / $15.33 / $23.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.44 / $11.36 / $11.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.40 / $13.36 / $23.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.07 / $7.86 / $11.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.30 / $10.81