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Montana rates for HCPCS 42975

Dise Dyn Eval Sleep Disordered Breathing Flx Dx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,620.00 / $1,620.00 / $3,549.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.92 / $105.81 / $2,537.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.01 / $153.01 / $153.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.57 / $153.01 / $153.01
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.44 / $94.30 / $153.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.40 / $153.01 / $211.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.32 / $199.20 / $272.25