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Montana rates for HCPCS 99190

Assembly&Operj Pump Oxygenator/Heat Exch Ea Hr

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.30 / $487.30 / $487.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.91 / $680.91 / $809.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.91 / $680.91 / $680.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.91 / $809.38 / $977.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.70 / $623.61 / $951.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.40 / $732.00 / $884.00