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Montana rates for HCPCS 0055T

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $218.78 / $416.87
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
$338.84 / $338.84 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $630.96
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $363.08 / $371.54
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $371.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $245.47 / $338.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $630.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $295.12 / $588.84