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Montana rates for HCPCS 84166

Protein Electrop Fxj&Quan Oth Flus Concentrati

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.58 / $49.61 / $179.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.16 / $20.82 / $28.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.62 / $77,999.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.89 / $27.34 / $27.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.85 / $34.77 / $66.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.17 / $25.85 / $26.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.85 / $30.31 / $66.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.05 / $17.82 / $25.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.49 / $7.49 / $24.52