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Montana rates for HCPCS 82355

Calculus Qualitative Analysis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.82 / $13.32 / $74.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.52 / $15.52 / $15.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.79 / $22.58 / $34.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $16.52 / $16.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.79 / $19.69 / $34.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.42 / $10.42 / $16.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.58 / $11.58 / $11.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.86 / $4.86 / $11.58