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Montana rates for HCPCS 0055T

Cptr-Asst Muscskel Navigj Ortho Ct/Mri

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.25 / $229.91 / $376.39
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
$335.46 / $335.46 / $335.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.46 / $335.46 / $630.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.89 / $194.81 / $335.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.20 / $335.46 / $442.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.20 / $287.83 / $592.80