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Montana rates for HCPCS 0004M

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.85 / $90.85 / $90.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.55 / $114.55 / $148.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.55 / $114.55 / $114.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.55 / $114.55 / $148.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.09 / $71.09 / $114.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.18 / $33.18 / $79.00