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Montana rates for HCPCS 84165

Protein; electrophoretic fractionation and quantitation, serum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.69 / $54.15 / $151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.38 / $9.67 / $14.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.73 / $77,999.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.39 / $27.34 / $27.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.57 / $20.94 / $52.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.57 / $17.39 / $26.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.57 / $19.68 / $52.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.67 / $10.74 / $15.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $4.63 / $14.76