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Montana rates for HCPCS 0489T

Autol Regn Cell Tx Scleroderma Hands

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.28 / $182.28 / $182.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.11 / $267.11 / $267.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.69 / $227.04 / $267.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.33 / $191.25 / $267.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.69 / $267.11 / $375.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.16 / $332.77 / $360.95