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Montana rates for HCPCS 64625

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Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.98 / $438.87 / $2,683.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.07 / $307.07 / $746.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.07 / $307.07 / $307.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.47 / $503.59 / $746.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.07 / $307.07 / $307.07
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.49 / $463.25 / $772.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.29 / $820.12 / $933.23