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Montana rates for HCPCS A4550

Surgical Trays (Not Valid For Medicare)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.60 / $18.60 / $35.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.19 / $9.19 / $86.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.02 / $31.02 / $31.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $31.02 / $31.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.38 / $36.04 / $36.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.09 / $28.63 / $43.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.50 / $12.77 / $12.77