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Montana rates for HCPCS 20101

Exploration Penetrating Wound Spx Chest

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.31 / $888.15 / $2,559.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.25 / $331.25 / $331.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.75 / $354.06 / $816.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.34 / $331.25 / $590.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.56 / $550.99 / $1,137.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.90 / $767.76 / $868.94