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Montana rates for HCPCS 49422

Removal of tunneled intraperitoneal catheter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $7,943.28 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $331.13 / $630.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $416.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $346.74 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $371.54 / $831.76
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $389.05 / $676.08
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $389.05 / $676.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $478.63 / $794.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $398.11 / $588.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $416.87 / $645.65