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Montana rates for HCPCS 00172

Anes Intraoral W/Biopsy Repair Cleft Palate

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $38.00 / $1,204.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.00 / $504.00 / $504.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.00 / $425.16 / $540.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.00 / $450.00 / $577.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.00 / $62.00 / $92.65