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Montana rates for HCPCS A4320

Irrigation Tray With Bulb Or Piston Syringe Any Purpose (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $4.40 / $13.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.45 / $68,999.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.45 / $6.45 / $6.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.93 / $6.93 / $6.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.82 / $6.93 / $6.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.96 / $6.60 / $7.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.21 / $5.54 / $7.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $3.17 / $3.62