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Montana rates for HCPCS 99221

1st Hospital Ip/Obs Care Sf/Low Mdm 40 Minutes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.23 / $150.40 / $168.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.59 / $100.54 / $249.19
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
$129.35 / $129.35 / $129.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.35 / $129.35 / $153.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.15 / $91.39 / $205.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.84 / $111.95 / $179.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.14 / $156.91 / $237.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.88 / $161.28 / $182.54