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Montana rates for HCPCS 42955

Pharyngostomy Fstlj Pharynx Xtrnl Feeding

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.55 / $762.89 / $4,041.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,199.88 / $1,199.88 / $1,199.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.86 / $1,068.11 / $2,060.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.67 / $998.37 / $1,404.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.14 / $1,223.98 / $2,039.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.89 / $1,258.58 / $1,779.39