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Montana rates for HCPCS 13131

Repair Complex F/C/C/M/N/Ax/G/H/F 1.1-2.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,026.00 / $1,026.00 / $1,026.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.37 / $302.74 / $650.38
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
$322.24 / $379.10 / $612.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.10 / $379.10 / $379.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.24 / $417.29 / $632.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.33 / $374.23 / $601.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.24 / $458.24 / $733.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.40 / $644.39 / $704.16