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Montana rates for HCPCS 83857

Methemalbumin

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.35 / $69.06 / $69.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.57 / $20.94 / $31.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $15.49 / $15.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.57 / $18.26 / $31.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.67 / $10.74 / $15.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $4.51 / $14.76