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Montana rates for HCPCS 84203

Protoporphyrin Rbc Screen

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.20 / $62.63 / $62.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.12 / $18.98 / $28.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.95 / $13.94 / $14.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.51 / $16.55 / $28.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.77 / $8.77 / $14.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.09 / $4.09 / $9.74