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Montana rates for HCPCS 01490

Anes Lower Leg Cast Application Removal/Repair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.25 / $35.00 / $688.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.00 / $212.58 / $270.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.00 / $225.00 / $330.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.00 / $60.00 / $91.00