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Montana rates for HCPCS C1765

Adhesion barrier

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.46 / $379.06 / $1,486.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $79,999.99 / $94,999.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.98 / $217.98 / $217.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.46 / $3.46 / $3.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.98 / $217.98 / $2,400,000.00