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Montana rates for HCPCS 69930

Cochlear device implantation, with or without mastoidectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,481.34 / $39,810.72 / $47,863.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,565.42 / $83,176.38 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $1,905.46
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,089.30 / $2,511.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,737.80 / $2,137.96