go back

Montana rates for HCPCS 83021

Hemoglobin Fractj/Quantj Chromotography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.61 / $48.74 / $364.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.77 / $21.08 / $116.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.20 / $24.20 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.20 / $24.20 / $24.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.19 / $35.22 / $53.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.42 / $25.81 / $26.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.19 / $30.70 / $53.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.25 / $16.25 / $26.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $7.80 / $24.82