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Montana rates for HCPCS 84392

Assay Of Sulfate Urine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.82 / $18.96 / $27.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.30 / $35.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.36 / $7.36 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.36 / $7.36 / $7.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.96 / $10.71 / $16.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.23 / $7.74 / $7.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.91 / $9.33 / $16.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.94 / $4.94 / $7.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $2.31 / $6.53