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Montana rates for HCPCS 83704

Lipoprotein, blood; quantitation of lipoprotein particle number(s) (eg, by nuclear magnetic resonance spectroscopy), includes lipoprotein particle subclass(es), when performed

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $32.36 / $117.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $120.23 / $91,201.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $45.71 / $45.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $57.54 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $38.90 / $50.12
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $45.71 / $104.71
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $45.71 / $104.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $57.54 / $194.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $43.65