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Montana rates for HCPCS A2007

Restrata, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.60 / $200.86 / $200.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.91 / $130.91 / $205.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.91 / $130.91 / $205.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.91 / $242.00 / $275.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.91 / $205.70 / $1,800,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.00 / $220.00 / $220.00