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Montana rates for HCPCS 84275

Assay Of Sialic Acid

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.46 / $86.42 / $86.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.48 / $26.21 / $39.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.19 / $19.48 / $19.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.48 / $22.85 / $39.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.10 / $12.10 / $19.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $5.64 / $18.47