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Montana rates for HCPCS 0583T

Tympanostomy (requiring insertion of ventilating tube), using an automated tube delivery system, iontophoresis local anesthesia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $190.55 / $223.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $302.00 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $302.00
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $338.84 / $346.74
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $338.84 / $346.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $229.09 / $2,344.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $302.00 / $407.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $323.59 / $467.74