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Montana rates for HCPCS 90791

Psychiatric diagnostic evaluation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.64 / $314.64 / $314.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.19 / $153.00 / $274.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $64,999.99 / $89,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.40 / $232.93 / $271.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.93 / $271.83 / $271.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.64 / $157.00 / $235.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.05 / $166.84 / $262.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $177.39 / $324.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.59 / $193.39 / $283.52