go back

Montana rates for HCPCS C1776

Joint device (implantable)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$701.04 / $8,754.37 / $64,126.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,040.40 / $5,231.70 / $14,310.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.50 / $1,326.50 / $1,326.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,859.17 / $3,859.17 / $3,859.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.50 / $1,800,000.00 / $2,400,000.00