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Montana rates for HCPCS 84446

Tocopherol alpha (Vitamin E)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.16 / $58.90 / $133.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.22 / $12.34 / $16.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.00 / $19.00 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.00 / $19.00 / $19.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.56 / $27.65 / $41.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.69 / $20.56 / $20.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.56 / $24.11 / $41.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.76 / $12.76 / $20.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.96 / $5.96 / $14.18