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Montana rates for HCPCS 84035

Assay Of Phenylketones Qualitative

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.58 / $25.59 / $25.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.33 / $5.33 / $5.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.77 / $7.76 / $11.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $5.68 / $5.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.31 / $6.77 / $11.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.58 / $3.58 / $5.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $1.67 / $5.03