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Montana rates for HCPCS A0436

Rotary wing air mileage, per statute mile

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.26 / $133.26 / $133.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $97.00 / $86,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.00 / $97.00 / $129.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.98 / $104.98 / $104.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.00 / $104.98 / $104.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.98 / $104.98 / $104.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.00 / $104.98 / $104.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.57 / $36.97 / $41.85