go back

Montana rates for HCPCS 84155

Protein, total, except by refractometry; serum, plasma or whole blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.91 / $30.12 / $53.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $3.67 / $5.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.92 / $4.92 / $77,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.92 / $4.92 / $4.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.51 / $10.84 / $20.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $4.13 / $5.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.32 / $7.16 / $10.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.30 / $3.30 / $4.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.54 / $1.59 / $6.28