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Montana rates for HCPCS A0428

Bls

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.57 / $290.57 / $290.57
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
$701.53 / $701.53 / $701.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.53 / $701.53 / $701.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$701.53 / $701.53 / $701.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.57 / $330.89 / $701.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.00 / $340.94 / $415.55