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Montana rates for HCPCS 0565T

Autol Cell Implt Adps Tiss Hrvg Cell Implt Crtj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.90 / $551.14 / $551.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.93 / $711.93 / $711.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.14 / $640.74 / $711.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.31 / $287.31 / $711.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.14 / $711.93 / $998.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.30 / $945.40 / $1,075.80