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Montana rates for HCPCS 49495

Rpr 1st Ingun Hrna Full Term Inft <6 Mo Rdc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.29 / $398.84 / $1,082.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $77,999.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.94 / $650.94 / $781.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.94 / $650.94 / $650.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.40 / $623.90 / $1,059.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.56 / $544.57 / $726.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.45 / $659.44 / $1,098.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.83 / $665.85 / $858.22