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Montana rates for HCPCS 0416T

Relocation of skin pocket for implanted cardiac contractility modulation pulse generator

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.42 / $407.42 / $407.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.14 / $553.14 / $553.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.14 / $553.14 / $553.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.14 / $553.14 / $553.14
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.08 / $553.14 / $898.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.84 / $770.40 / $974.02