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Montana rates for HCPCS B4081

Nasogastric Tubing With Stylet (Special Coverage Instructions Apply. See Cim: 65-10 And Mcm: 2130 4450)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.80 / $61.70 / $61.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.80 / $23.80 / $23.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.65 / $25.65 / $25.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.65 / $25.65 / $25.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.65 / $25.65 / $25.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.66 / $16.66 / $22.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.20 / $27.96 / $36.38