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Montana rates for HCPCS 0696T

Bdy Surf Activation Mapg Pm/Cvdfb Leads Tm F/Up

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.73 / $41.73 / $41.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.25 / $66.25 / $78.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.25 / $66.25 / $66.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.25 / $66.25 / $78.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.25 / $74.83 / $88.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.69 / $70.22 / $83.31