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Montana rates for HCPCS 28292

Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.65 / $729.75 / $4,200.89
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
$773.98 / $851.38 / $1,105.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.98 / $773.98 / $773.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.41 / $773.98 / $1,274.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.12 / $591.66 / $1,064.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.58 / $904.84 / $1,422.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.82 / $1,211.61 / $1,796.54