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Montana rates for HCPCS A4773

Occult blood test strips, for dialysis, per 50

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $8.17 / $11.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.35 / $17.35 / $17.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $9.07 / $17.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.86 / $14.62 / $20.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.07 / $17.35 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.64 / $7.15 / $7.15