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Montana rates for HCPCS A6509

Compression Burn Garment Upper Trunk To Waist Including Arm Openings (Vest) Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.26 / $191.26 / $191.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.26 / $191.26 / $2,400,000.00