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Montana rates for HCPCS 42650

Dilation salivary duct

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $77.62 / $165.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $93.33 / $251.19
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $128.82 / $144.54
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $128.82 / $144.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $100.00 / $169.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $120.23 / $190.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $109.65 / $147.91