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Montana rates for HCPCS A4929

Tourniquet for dialysis, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.25 / $0.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.53 / $0.53 / $0.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.43 / $0.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.53 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.22 / $0.22