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Montana rates for HCPCS 30115

Excision Nasal Polyp Extensive

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.66 / $403.66 / $763.48
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
$741.90 / $741.90 / $741.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.90 / $741.90 / $741.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.84 / $741.90 / $741.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.18 / $741.90 / $794.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.14 / $684.27 / $987.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.90 / $736.60 / $1,313.50