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Montana rates for HCPCS 99152

Mod Sed Same Phys/Qhp Initial 15 Mins 5/> Yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.27 / $241.16 / $512.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.58 / $22.77 / $132.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.93 / $18.93 / $79.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.93 / $79.40 / $94.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.80 / $42.89 / $106.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.50 / $45.50 / $71.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.04 / $48.85 / $115.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.36 / $85.80 / $138.75