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Montana rates for HCPCS 74355

Percutaneous Placement Enteroclysis Tube Rs&I

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.38 / $130.57 / $150.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.93 / $208.22 / $340.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.67 / $208.22 / $293.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.86 / $175.25 / $270.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.94 / $208.22 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.74 / $154.11 / $266.48