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Montana rates for HCPCS 63655

Lam Impltj Nstim Eltrds Plate/Paddle Edrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,306.05 / $4,306.05 / $4,306.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,318.12 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.05 / $1,346.05 / $1,346.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$665.73 / $866.99 / $1,346.05