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Montana rates for HCPCS 84590

Vitamin A

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.32 / $58.90 / $193.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.55 / $10.11 / $13.35
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.56 / $15.56 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.56 / $15.56 / $15.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.82 / $22.64 / $34.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $16.52 / $16.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.82 / $19.73 / $34.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.45 / $11.61 / $16.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $5.01 / $15.95