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Montana rates for HCPCS 0054T

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Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.15 / $196.17 / $455.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$268.68 / $268.68 / $268.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.68 / $268.68 / $268.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.93 / $129.15 / $180.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.38 / $197.02 / $321.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.24 / $256.48 / $405.68