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Montana rates for HCPCS A4890

Contracts, repair and maintenance, for hemodialysis equipment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.60 / $254.94 / $622.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.60 / $254.94 / $685.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800,000.00 / $2,250,000.00 / $2,400,000.00