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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
$35,703.96 / $39,643.11 / $47,524.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $82,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,922.32 / $1,922.32 / $1,922.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$939.95 / $2,141.75 / $2,306.73