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Montana rates for HCPCS 99155

Mod Sed Other Phys/Qhp Initial 15 Mins <5 Yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.99 / $400.99 / $400.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.93 / $98.09 / $372.00
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
$128.82 / $128.82 / $128.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $128.82 / $153.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.01 / $128.82 / $193.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.17 / $87.36 / $128.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.01 / $157.94 / $204.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.36 / $149.91 / $184.11