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Montana rates for HCPCS 87803

Iaadiadoo Clostridium Difficile Toxin A

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.39 / $102.88 / $102.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.20 / $31.20 / $47.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.17 / $22.72 / $23.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.43 / $27.20 / $47.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $14.40 / $23.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.72 / $6.72 / $16.48