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Montana rates for HCPCS A4265

Paraffin Per Pound (Special Coverage Instructions Apply. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $2.86 / $13.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.00 / $5.00 / $5.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $5.00 / $5.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.56 / $4.53 / $5.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $3.75 / $5.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.02 / $2.31