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Montana rates for HCPCS 29700

Removal/Bivalving Gauntlet Boot/Body Cast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.30 / $193.30 / $193.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.17 / $56.64 / $115.28
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
$44.25 / $52.05 / $102.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.05 / $52.05 / $52.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.72 / $55.87 / $102.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.82 / $52.05 / $86.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.24 / $67.90 / $122.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.48 / $81.48 / $81.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.78 / $99.68 / $112.82