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Montana rates for HCPCS 41015

Xtroral I&D Absc Cst/Hmtma Floor Mouth Sublngl

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.63 / $380.68 / $1,663.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.17 / $472.17 / $472.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.00 / $485.31 / $972.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.79 / $448.15 / $781.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.32 / $640.57 / $1,024.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.78 / $689.92 / $872.51