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Montana rates for HCPCS 69714

Impl Oi Implt Skull Perq Attachment Esp

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$785.02 / $785.02 / $785.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.79 / $1,856.40 / $2,015.15