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Montana rates for HCPCS 92575

Sensorineural Acuity Level

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.65 / $90.34 / $96.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.77 / $98.94 / $116.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.95 / $99.22 / $139.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.67 / $104.87 / $117.75