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Montana rates for HCPCS D0460

Pulp Vitality Tests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $15.85 / $36.31
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $5,248.07
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $5,248.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $17.38 / $17.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $45.71 / $79.43