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Montana rates for HCPCS 84315

Specific Gravity Except Urine

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.77 / $21.09 / $21.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.40 / $4.40 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $4.40 / $4.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.76 / $6.40 / $9.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $4.65 / $4.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.64 / $5.58 / $9.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $2.95 / $4.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $1.38 / $5.62