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Montana rates for HCPCS 0253T

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.07 / $993.07 / $993.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,532.18 / $1,532.18 / $1,532.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,532.18 / $1,532.18 / $1,532.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,532.18 / $1,532.18 / $1,532.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,532.18 / $1,532.18 / $2,047.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,090.00 / $2,090.00 / $8,045.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,365.49 / $1,692.43 / $2,979.37