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Montana rates for HCPCS 69320

Rcnstj Xtrnl Aud Canal Congenital Atresia 1 Stg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,625.36 / $8,072.83 / $8,072.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,467.58 / $2,467.58 / $2,467.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,682.09 / $2,467.58 / $2,559.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,209.39 / $2,617.55 / $2,867.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,519.80 / $2,279.94 / $3,288.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,053.77 / $2,577.27 / $4,364.14