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Montana rates for HCPCS 84377

Sugars Mono Di&Oligos Mlt Qualitative Each Spe

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.33 / $35.36 / $35.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.37 / $68,099.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.37 / $7.37 / $7.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.98 / $10.73 / $16.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.74 / $7.74 / $7.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.98 / $9.35 / $16.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.95 / $5.50 / $7.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $2.31 / $7.56