go back

Montana rates for HCPCS 0117U

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.75 / $966.75 / $966.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,218.94 / $1,218.94 / $1,218.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.01 / $1,207.51 / $1,218.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,218.94 / $1,218.94 / $1,218.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.59 / $840.65 / $1,050.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.07 / $353.07 / $840.65