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Montana rates for HCPCS A0396

Als Specialized Service Disposable Supplies; Esophageal Intubation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.65 / $35.65 / $35.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.27 / $46.27 / $46.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.27 / $46.27 / $46.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.27 / $46.27 / $46.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.47 / $40.33 / $47.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.76 / $46.64 / $55.78