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Montana rates for HCPCS 30210

Displacement therapy (Proetz type)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.84 / $523.79 / $798.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.93 / $165.87 / $249.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.55 / $164.05 / $249.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.91 / $250.16 / $421.81