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Montana rates for HCPCS 97139

Unlisted therapeutic procedure (specify)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $14.40 / $111.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.47 / $29.97 / $35.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.53 / $25.47 / $29.97
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.38 / $18.03 / $29.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.82 / $25.24 / $30.94