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Montana rates for HCPCS 0562T

Anatomic guide 3D-printed and designed from image data set(s); each additional anatomic guide (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.43 / $20.35 / $30.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.50 / $30.50 / $30.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.45 / $30.50 / $45.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.43 / $30.45 / $137.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.50 / $30.50 / $45.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.56 / $23.23 / $39.94