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Montana rates for HCPCS 12052

Repair Intermediate F/E/E/N/L&/Muc 2.6-5.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.56 / $437.40 / $702.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.93 / $285.64 / $516.00
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
$266.82 / $313.89 / $498.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$313.89 / $313.89 / $313.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.82 / $339.89 / $498.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.83 / $304.45 / $505.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.27 / $378.77 / $597.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.85 / $505.70 / $551.19