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Montana rates for HCPCS 83632

Lactogen, human placental (HPL) human chorionic somatomammotropin

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.25 / $130.02 / $130.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.32 / $39.43 / $59.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.95 / $29.32 / $29.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.32 / $34.36 / $59.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $20.22 / $29.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.49 / $8.49 / $27.79