go back

Montana rates for HCPCS 85055

Reticulated Platelet Assay

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.16 / $102.60 / $133.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.02 / $35.22 / $229.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.89 / $47.89 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.89 / $47.89 / $47.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.82 / $69.69 / $105.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.37 / $51.11 / $51.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.90 / $60.76 / $105.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.17 / $32.17 / $51.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.01 / $15.01 / $36.79