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Montana rates for HCPCS 83864

Mucopolysaccharides Acid Quantitative

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.78 / $183.26 / $183.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.19 / $68,099.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.19 / $38.19 / $38.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.33 / $55.58 / $84.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.61 / $40.78 / $41.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.93 / $48.45 / $84.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.65 / $25.65 / $41.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.38 / $11.97 / $28.50