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Montana rates for HCPCS 84135

Pregnanediol

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.46 / $136.77 / $136.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.50 / $28.50 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.50 / $28.50 / $28.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.84 / $41.48 / $62.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.10 / $30.46 / $30.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.80 / $36.15 / $62.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.14 / $19.14 / $30.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.93 / $8.93 / $26.30