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Montana rates for HCPCS 0123U

Mechanical fragility, RBC, shear stress and spectral analysis profiling

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $338.84 / $346.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $512.86 / $512.86
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $446.68 / $1,096.48
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $446.68 / $1,096.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $323.59 / $446.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $354.81