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Montana rates for HCPCS 94681

O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.89 / $48.38 / $285.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.72 / $14.72 / $75.72
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$14.72 / $14.72 / $17.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.78 / $75.72 / $147.01
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$14.72 / $14.72 / $17.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.41 / $86.34 / $128.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.01 / $87.90 / $104.29