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Montana rates for HCPCS A4615

Cannula, nasal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.31 / $12.31 / $12.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.74 / $2.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $77,999.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.61 / $1.07 / $1.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.83 / $1.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.54 / $1.02 / $1.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.87 / $1.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.43 / $0.49