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Montana rates for HCPCS A0434

Specialty care transport (SCT)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.60 / $533.60 / $533.60
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
$2,279.98 / $2,279.98 / $2,279.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,279.98 / $2,279.98 / $2,279.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,279.98 / $2,279.98 / $2,279.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,279.98 / $2,279.98 / $2,279.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.00 / $1,108.04 / $1,350.52