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Montana rates for HCPCS 0054T

Computer-assisted musculoskeletal surgical navigational orthopedic procedure, with image-guidance based on fluoroscopic images (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $162.18 / $309.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,565.42 / $83,176.38 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $269.15 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $269.15
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $288.40 / $302.00
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $288.40 / $302.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $169.82 / $269.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $269.15 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $263.03 / $436.52