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Montana rates for HCPCS 92549

Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), including interpretation and report; with motor control test (MCT) and adaptation test (ADT)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.24 / $66.12 / $87.64
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.31 / $44.89 / $62.35
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$69.41 / $69.41 / $82.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.63 / $86.26 / $280.55
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.60 / $59.00 / $191.35
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$69.41 / $69.41 / $82.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.19 / $97.73 / $152.94
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.60 / $58.89 / $69.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.60 / $104.40 / $122.40
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.16 / $74.25 / $122.10