go back

Montana rates for HCPCS 95721

Eeg Complete Std Phys/Qhp>36 Hr<60 Hr W/O Video

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.82 / $207.66 / $316.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.05 / $327.05 / $327.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.74 / $320.74 / $388.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.24 / $273.94 / $870.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.29 / $200.34 / $327.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.98 / $323.52 / $499.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.92 / $350.32 / $566.10