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Montana rates for HCPCS 92928

Prq Trluml Coronary Stent W/Angio One Art/Brnch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,123.90 / $12,123.90 / $76,383.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.37 / $583.40 / $2,487.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.85 / $903.85 / $903.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$903.85 / $903.85 / $1,074.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.92 / $903.85 / $1,326.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$903.85 / $903.85 / $1,074.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.01 / $791.94 / $1,269.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.29 / $1,011.27 / $1,199.81