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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
$80.75 / $138.22 / $156.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.27 / $25.28 / $32.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.65 / $37.65 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.65 / $37.65 / $37.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.75 / $54.80 / $83.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.39 / $40.27 / $40.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.75 / $47.77 / $83.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.29 / $28.10 / $40.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.80 / $11.80 / $38.61