go back

Montana rates for HCPCS 84402

Assay Of Testosterone Free

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.75 / $116.09 / $305.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.82 / $22.91 / $33.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.13 / $34.13 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.13 / $34.13 / $34.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.93 / $49.67 / $75.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.52 / $36.65 / $36.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.93 / $43.30 / $75.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.92 / $25.47 / $36.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.70 / $14.55 / $35.00