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Montana rates for HCPCS 0109T

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $43.22 / $50.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.85 / $47.85 / $56.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.30 / $43.07 / $47.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.29 / $44.33 / $56.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.67 / $47.85 / $79.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.90 / $81.64 / $90.78