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Montana rates for HCPCS A4651

Calibrated microcapillary tube, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.04 / $2.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.04 / $0.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $1,800,000.00 / $2,400,000.00