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Montana rates for HCPCS 87623

Iadna Human Papillomavirus Low-Risk Types

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.35 / $225.63 / $225.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.88 / $59.65 / $200.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.80 / $50.88 / $50.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.88 / $59.65 / $200.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.58 / $31.58 / $50.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.74 / $14.74 / $47.76