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Montana rates for HCPCS 38765

Inguinofem Lmphadec Supfc W/Pel Lmphadec

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,219.08 / $6,734.35 / $6,734.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,063.77 / $2,063.77 / $2,063.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,385.07 / $2,063.77 / $2,172.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.81 / $2,239.25 / $2,356.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.83 / $1,883.93 / $2,717.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,772.83 / $2,204.79 / $3,614.89