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Montana rates for HCPCS 30802

Abltj Sof Tiss Inf Turbs Uni/Bi Supfc Intramural

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $0.89 / $0.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.21 / $277.00 / $1,200.00
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
$321.79 / $321.79 / $440.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.79 / $321.79 / $321.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.29 / $321.79 / $482.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.17 / $475.15 / $533.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.16 / $329.45 / $482.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.81 / $467.84 / $779.78