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Montana rates for HCPCS 29065

Application Cast Shoulder Hand Long Arm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.80 / $289.80 / $289.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.56 / $87.93 / $380.49
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
$108.31 / $108.31 / $156.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.31 / $108.31 / $108.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.81 / $107.87 / $160.63
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.74 / $81.86 / $126.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.34 / $126.63 / $185.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.90 / $153.90 / $172.80