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Montana rates for HCPCS 84445

Thyroid stimulating immune globulins (TSI)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.31 / $137.28 / $304.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.06 / $45.42 / $58.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.15 / $68.15 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.15 / $68.15 / $68.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.75 / $99.18 / $150.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.86 / $72.79 / $73.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.75 / $86.46 / $150.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.77 / $50.86 / $73.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.36 / $29.06 / $69.90