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Montana rates for HCPCS A0426

Ambulance Service Advanced Life Support Non-Emergency Transport Level 1 (Als 1)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.37 / $330.37 / $330.37
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
$841.85 / $841.85 / $841.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.85 / $841.85 / $841.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$841.85 / $841.85 / $841.85
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.58 / $376.26 / $841.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.00 / $409.12 / $498.65