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Montana rates for HCPCS A4217

Sterile Water/Saline 500 Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.76 / $77.76 / $77.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $2.63 / $10.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $3.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.13 / $2.80 / $3.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $2.93 / $3.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.68 / $1.85 / $2.18