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Montana rates for HCPCS 42330

Sialot Submndblr Sublngl/Prtd Uncomp Intraoral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.19 / $215.69 / $863.53
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
$223.91 / $237.08 / $335.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.43 / $263.43 / $263.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.02 / $263.43 / $526.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.32 / $238.00 / $432.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.88 / $372.27 / $598.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.60 / $384.53 / $478.54