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Montana rates for HCPCS 15241

Fth/Gt Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F Ea Addl

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.51 / $159.40 / $963.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $77,999.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.20 / $167.20 / $274.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.20 / $167.20 / $167.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.12 / $187.00 / $306.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.63 / $164.77 / $305.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.61 / $199.68 / $327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.35 / $301.12 / $328.30