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Montana rates for HCPCS 85170

Blood Clot Retraction

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.75 / $104.81 / $104.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.64 / $31.79 / $48.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $23.23 / $23.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.25 / $27.71 / $48.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.67 / $14.67 / $23.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $6.85 / $16.30