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Montana rates for HCPCS Q0115

Postcoital direct, qualitative examinations of vaginal or cervical mucous

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.75 / $86.75 / $86.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.25 / $48.75 / $73.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.88 / $32.34 / $36.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.29 / $42.50 / $73.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.50 / $22.50 / $36.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.09 / $15.00 / $25.00