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Montana rates for HCPCS 42200

Palatop Cl Palate Soft&/Hard Palate Only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.04 / $913.41 / $2,681.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $77,999.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,244.25 / $1,244.25 / $1,244.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,463.83 / $1,463.83 / $1,463.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.66 / $1,306.83 / $2,330.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$905.36 / $1,269.83 / $1,621.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.49 / $1,482.80 / $2,470.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,281.21 / $1,508.00 / $1,908.20