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Montana rates for HCPCS 0095T

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.96 / $247.46 / $1,301.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,927.06 / $1,927.06 / $1,927.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,638.00 / $1,734.35 / $1,927.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$815.06 / $820.34 / $1,927.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,638.00 / $1,927.06 / $2,502.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.00 / $1,962.14 / $2,165.12