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Montana rates for HCPCS 90474

Im Adm Intransl/Oral Ea Vaccine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.80 / $12.80 / $12.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.42 / $58.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.93 / $18.93 / $18.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.93 / $18.93 / $18.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.91 / $8.31 / $32.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.93 / $18.93 / $18.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.31 / $16.96 / $25.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.99 / $12.99 / $19.95