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Montana rates for HCPCS 84150

Prostaglandin, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.12 / $449.33 / $561.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.04 / $268.58 / $268.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.97 / $55.97 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.97 / $55.97 / $55.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.57 / $81.45 / $123.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.18 / $59.89 / $60.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.28 / $71.01 / $123.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.59 / $37.59 / $60.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.28 / $17.54 / $41.77