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Montana rates for HCPCS 29058

Application, cast; plaster Velpeau

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.08 / $173.80 / $645.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.28 / $148.28 / $148.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.53 / $140.61 / $208.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.11 / $104.48 / $152.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.04 / $165.45 / $245.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.44 / $196.55 / $224.63