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Montana rates for HCPCS A4550

Surgical Trays

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $18.62 / $35.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $15.14 / $26.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,565.42 / $83,176.38 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $30.90 / $30.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $30.90
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $35.48
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $35.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $25.70 / $38.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $38.02 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $12.88 / $12.88