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Montana rates for HCPCS 84376

Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $81.28 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $5.01 / $36.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $19.05 / $91,201.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.41 / $7.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $9.33 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $6.17 / $7.94
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $7.76 / $16.98
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.50 / $7.76 / $16.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $9.33 / $31.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $4.90 / $7.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.40 / $7.59