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Montana rates for HCPCS A2014

Omeza collagen matrix, per 100 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.00 / $127.61 / $127.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.44 / $90.44 / $130.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.44 / $90.44 / $130.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.23 / $130.69 / $153.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.23 / $90.44 / $130.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.13 / $128.13 / $128.13