go back

Montana rates for HCPCS 84255

Selenium

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $97.72 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $22.91 / $120.23
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $89.13 / $91,201.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $43.65 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $29.51 / $37.15
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $36.31 / $79.43
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $36.31 / $79.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $43.65 / $144.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $22.91 / $37.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $10.96 / $35.48