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Montana rates for HCPCS 30915

Ligation arteries; ethmoidal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.07 / $3,097.66 / $3,097.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.11 / $960.11 / $960.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.37 / $960.11 / $960.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.02 / $982.15 / $1,068.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.21 / $877.91 / $1,266.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.18 / $972.66 / $1,689.97