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Montana rates for HCPCS 49507

Rpr 1st Ingun Hrna Age 5 Yrs/> Incarcerated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,422.20 / $33,380.15 / $33,380.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.35 / $934.35 / $934.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.08 / $834.53 / $1,146.08