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Montana rates for HCPCS 0105U

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.50 / $1,092.50 / $1,092.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,377.50 / $1,377.50 / $1,377.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.56 / $1,364.45 / $1,377.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,377.50 / $1,377.50 / $1,377.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.00 / $855.00 / $1,377.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.00 / $399.00 / $950.00