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Montana rates for HCPCS 69717

Rplcmt Oi Implt Skull Perq Attachment Esp

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.31 / $5,811.51 / $5,811.51
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
$889.13 / $889.13 / $889.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.13 / $889.13 / $1,894.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.67 / $1,968.85 / $2,130.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.59 / $889.13 / $1,358.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,544.79 / $1,833.38 / $2,212.69