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Montana rates for HCPCS A0431

Ambulance Service Conventional Air Services Transport One Way (Rotary Wing)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,242.00 / $12,242.00 / $12,242.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,392.12 / $14,392.12 / $14,392.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,856.00 / $14,856.00 / $86,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,856.00 / $14,856.00 / $19,808.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,119.45 / $16,119.45 / $16,119.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,755.00 / $16,119.45 / $16,119.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,119.45 / $16,119.45 / $16,119.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,755.00 / $16,119.45 / $16,119.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,155.43 / $5,679.06 / $6,427.48