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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
$10.00 / $29.51 / $53.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $3.31 / $23.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.90 / $4.90 / $64,565.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $4.90 / $4.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $7.08 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $4.17 / $5.13
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.63 / $5.25 / $11.22
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $5.25 / $11.22
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $6.31 / $20.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.31 / $4.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $1.58 / $5.01