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Montana rates for HCPCS 90969

Esrd Related Svc <Full Month 12-19 Yr Old

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.21 / $15.15 / $23.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.29 / $26.29 / $26.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.66 / $20.45 / $45.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.60 / $19.67 / $32.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.71 / $33.96 / $44.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.42 / $24.37 / $29.00