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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
$302.00 / $346.74 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $5,248.07
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $602.56 / $5,248.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $316.23 / $549.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $549.54 / $891.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $758.58 / $977.24