go back

Montana rates for HCPCS 94680

O2 Uptk Exp Gas Analysis Rest&Xers Direct Simp

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.09 / $60.70 / $91.53
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.45 / $19.45 / $23.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.63 / $81.98 / $165.12
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$19.45 / $19.45 / $23.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.63 / $92.82 / $140.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.00 / $89.10 / $105.71