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Montana rates for HCPCS 84143

17-Hydroxypregnenolone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.04 / $55.04 / $55.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.23 / $146.66 / $146.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.57 / $30.57 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.57 / $30.57 / $30.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.07 / $44.48 / $67.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.65 / $33.04 / $33.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.47 / $38.78 / $67.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.53 / $22.81 / $33.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.58 / $9.58 / $31.37