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Montana rates for HCPCS A4773

Occult blood test strips, for dialysis, per 50

Facilitymedian $19 · 10th–90th $8–$220%20%10th90th$19Professionalmedian $8 · 10th–90th $5–$130%10%20%10th90th$8$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.94 / $10.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $17.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $17.38
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $19.05
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $19.05
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.92 / $13.80 / $23.44
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $17.38 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $7.08 / $7.08