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Montana rates for HCPCS 12056

Repair Intermediate F/E/E/N/L&/Muc 20.1-30.0cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.75 / $445.37 / $3,040.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$605.72 / $605.72 / $605.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.86 / $605.72 / $915.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.35 / $561.48 / $898.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.86 / $715.99 / $1,098.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.90 / $947.71 / $1,035.61