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Montana rates for HCPCS A4774

Ammonia Test Strips

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.20 / $3.20 / $31.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.93 / $13.93 / $13.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.20 / $4.00 / $34.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800,000.00 / $2,250,000.00 / $2,400,000.00