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Montana rates for HCPCS 89264

Sprm Id From Tstis Tiss Frsh/Cryoprsrvd

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.83 / $365.38 / $365.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $82,999.99 / $94,999.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.45 / $109.45 / $136.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,400,000.00 / $2,400,000.00 / $2,400,000.00