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Montana rates for HCPCS 87633

Iadna Respiratry Probe & Rev Trnscr 12-25 Target

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.33 / $765.28 / $1,045.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.51 / $486.97 / $2,679.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.49 / $558.49 / $91,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.49 / $558.49 / $558.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.16 / $812.72 / $2,375.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.47 / $286.47 / $286.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.16 / $812.72 / $2,375.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.10 / $375.10 / $520.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.05 / $175.05 / $416.78