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Montana rates for HCPCS 42650

Dilation Salivary Duct

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.88 / $72.00 / $303.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.59 / $93.59 / $93.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.99 / $94.46 / $189.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.26 / $81.13 / $146.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.14 / $120.24 / $197.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.75 / $133.63 / $162.40