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Montana rates for HCPCS A7521

Tracheostomy/laryngectomy tube, cuffed, polyvinyl chloride (PVC), silicone or equal, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $46.77 / $89.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $75,857.76 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $69.18 / $69.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $56.23 / $69.18
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $64.57 / $125.89
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $64.57 / $125.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $61.66 / $79.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $69.18 / $79.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $32.36 / $43.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $28.18 / $33.11