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Montana rates for HCPCS 0576T

Interrogation Dev Eval Icds W/Ss Eltrd In Person

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.59 / $49.71 / $64.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.53 / $102.53 / $121.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.75 / $102.53 / $111.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.41 / $75.20 / $116.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.15 / $102.53 / $136.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.83 / $78.47 / $93.10