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Montana rates for HCPCS C2615

Sealant, pulmonary, liquid

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.37 / $659.93 / $1,401.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.37 / $239.37 / $239.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800,000.00 / $2,250,000.00 / $2,400,000.00