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Montana rates for HCPCS 49500

Rpr 1st Ingun Hrna Age 6 Mo-5 Yrs Reducible

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,828.81 / $3,828.81 / $6,976.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.08 / $380.25 / $671.30
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
$598.15 / $664.61 / $797.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$664.61 / $664.61 / $664.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.44 / $664.61 / $1,022.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.40 / $538.66 / $691.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.98 / $671.30 / $1,118.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.52 / $663.03 / $839.29