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Montana rates for HCPCS 29075

Application Cast Elbow Finger Short 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
$57.03 / $89.73 / $300.60
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
$99.38 / $99.38 / $141.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.38 / $99.38 / $99.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.11 / $99.14 / $144.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.85 / $74.27 / $116.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.86 / $114.03 / $167.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.21 / $138.87 / $155.52