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Montana rates for HCPCS A4615

Cannula, nasal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $12.30 / $12.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.09 / $4.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.41 / $75,857.76 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $1.07 / $1.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $0.52 / $1.12
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.78 / $1.00 / $1.55
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $1.00 / $1.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.54 / $1.05 / $1.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.52 / $1.07 / $79.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $0.50 / $0.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.43 / $0.66