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Montana rates for HCPCS 69719

Rplcmt Oi Implt Skull Mag Tc Attachment Esp<100

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.84 / $625.29 / $625.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.05 / $1,020.05 / $1,020.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.48 / $1,020.05 / $1,020.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.24 / $626.54 / $1,020.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.65 / $872.57 / $1,258.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.97 / $1,060.82 / $1,786.17