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Montana rates for HCPCS 0121U

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.58 / $585.58 / $585.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$738.34 / $738.34 / $738.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.22 / $731.53 / $738.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$738.34 / $738.34 / $738.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.28 / $458.28 / $738.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.86 / $213.86 / $509.20