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Montana rates for HCPCS 0692T

Therapeutic Ultrafiltration

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.32 / $77.56 / $256.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.06 / $132.90 / $282.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.40 / $150.80 / $174.19