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Montana rates for HCPCS 30400

Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,379.80 / $6,394.42 / $6,394.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,947.56 / $1,947.56 / $1,947.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.23 / $1,947.56 / $1,947.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$951.67 / $1,893.07 / $1,947.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,204.07 / $1,705.79 / $2,605.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,545.31 / $2,026.07 / $3,448.38