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Montana rates for HCPCS 83701

Lipoprotein, blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg, electrophoresis, ultracentrifugation)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $30.90 / $223.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $64,565.42 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $57.54 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $38.90 / $48.98
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $43.65 / $102.33
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $43.65 / $102.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $57.54 / $194.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $48.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $33.88