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Montana rates for HCPCS 12036

Repair Intermediate S/A/T/E 20.1-30.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.65 / $410.04 / $1,469.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $77,999.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.35 / $445.35 / $686.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.35 / $445.35 / $445.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.55 / $465.60 / $690.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.04 / $422.16 / $675.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.55 / $526.92 / $821.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.82 / $715.73 / $782.11