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Montana rates for HCPCS A0422

Ambulance (ALS or BLS) oxygen and oxygen supplies, life sustaining situation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.75 / $32.75 / $32.75
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $64,999.99 / $86,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.12 / $43.12 / $43.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.12 / $43.12 / $43.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.12 / $43.12 / $43.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.53 / $37.58 / $44.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.64 / $43.46 / $51.97