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Montana rates for HCPCS 92012

Oph Svcs Medical Xm&Eval Intermediate Est Pt

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.63 / $90.10 / $123.58
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$73.05 / $92.38 / $118.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.81 / $77.81 / $140.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $80.00 / $139.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.49 / $58.19 / $102.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.87 / $84.76 / $140.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.20 / $139.43 / $166.82