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Montana rates for HCPCS 26373

Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/O Free Grf Ea

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$948.41 / $1,284.41 / $4,569.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,405.46 / $1,405.46 / $1,405.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,405.46 / $1,405.46 / $1,405.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.84 / $1,361.30 / $1,405.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$687.35 / $945.11 / $1,405.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.69 / $1,361.30 / $1,873.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,161.35 / $1,380.48 / $1,573.43