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Montana rates for HCPCS 83021

Hemoglobin fractionation and quantitation; chromatography (eg, A2, S, C, and/or F)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $120.23 / $363.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $16.98 / $66.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $63.10 / $91,201.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $23.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $30.90 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $20.42 / $26.30
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $25.70 / $56.23
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $25.70 / $56.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $30.90 / $102.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $26.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $7.76 / $24.55