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Montana rates for HCPCS 84146

Prolactin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.05 / $128.29 / $205.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.23 / $22.29 / $29.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.97 / $25.97 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.97 / $25.97 / $25.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.10 / $37.79 / $57.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.27 / $27.88 / $28.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.10 / $32.95 / $57.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.44 / $17.44 / $28.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.14 / $8.36 / $26.64