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Montana rates for HCPCS 83491

Hydroxycorticosteroids, 17- (17-OHCS)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.59 / $115.10 / $115.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.96 / $34.90 / $52.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.08 / $25.81 / $25.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.45 / $30.43 / $52.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.11 / $17.52 / $25.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.52 / $7.52 / $24.08