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Montana rates for HCPCS 33264

Rmvl Impltbl Dfb Pls Gen W/Rplcmt Pls Gen Mlt Ld

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,119.96 / $35,119.96 / $35,119.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $82,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.23 / $626.23 / $626.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.23 / $626.23 / $626.23