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Montana rates for HCPCS 43887

Gstr Rstcv Px Opn Rmvl Subq Port Component Only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.48 / $324.24 / $1,716.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$532.11 / $532.11 / $532.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.63 / $532.11 / $889.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.82 / $430.60 / $581.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.99 / $535.42 / $892.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.43 / $536.25 / $780.63