go back

Montana rates for HCPCS 84295

Sodium Serum Plasma Or Whole Blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.05 / $22.62 / $43.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.20 / $5.75 / $7.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.45 / $6.45 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.45 / $6.45 / $6.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.22 / $14.21 / $27.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $5.78 / $7.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.99 / $9.38 / $14.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.33 / $4.33 / $6.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $6.62