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Montana rates for HCPCS 0490T

Autol Regn Cell Tx Scldr Mlt Inj 1/> Hands

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.58 / $597.58 / $597.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.46 / $875.46 / $875.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.13 / $744.14 / $875.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.67 / $610.13 / $875.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.13 / $875.46 / $1,231.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.96 / $1,060.82 / $1,150.71