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Montana rates for HCPCS 84207

Pyridoxal phosphate (Vitamin B-6)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $81.28 / $204.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $25.70 / $75.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $97.72 / $91,201.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $38.02 / $38.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $47.86 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $32.36 / $40.74
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $39.81 / $87.10
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $39.81 / $87.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $47.86 / $158.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $40.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $12.02 / $38.90