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Montana rates for HCPCS 22101

Prtl Exc Pst Vrt Intrnsc B1y Les 1 Vrt Sgm Thrc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.99 / $1,200.40 / $4,491.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,404.94 / $1,404.94 / $1,404.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.76 / $1,384.58 / $1,404.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$705.41 / $881.76 / $1,404.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.90 / $1,376.58 / $1,799.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.57 / $1,432.97 / $1,608.95