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Montana rates for HCPCS P2028

Cephalin Floculation Blood (Special Coverage Instructions Apply. See Cim: 50-34)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.69 / $17.18 / $17.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.18 / $7.18 / $7.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $6.56 / $7.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.18 / $7.18 / $7.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.46 / $4.95 / $7.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $2.08 / $4.95