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Montana rates for HCPCS A2008

TheraGenesis, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $147.91 / $173.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $144.54 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $151.36 / $151.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $177.83 / $281.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $125.89 / $204.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $162.18