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Montana rates for HCPCS 84403

Testosterone; total

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $131.83 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $25.12 / $54.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $34.67 / $46,773.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $34.67 / $34.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $43.65 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $29.51 / $37.15
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $36.31 / $79.43
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $36.31 / $79.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $43.65 / $147.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $23.44 / $37.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $11.22 / $35.48