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Montana rates for HCPCS A4649

Surgical supply; miscellaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.81 / $79.81 / $12,067.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $289.60 / $310.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $79,999.99 / $94,999.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $2.87 / $2.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $2.87 / $2,250,000.00