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Montana rates for HCPCS A4721

Dialysat sol fld vol > 999cc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $20.00 / $20.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $20.00 / $30.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $1.41 / $2,400,000.00