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Montana rates for HCPCS E0300

Pediatric crib, hospital grade, fully enclosed, with or without top enclosure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,853.76 / $1,853.76 / $1,853.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,950.00 / $1,950.00 / $1,950.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.82 / $1,950.00 / $2,838.62
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.50 / $1,930.26 / $4,110.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.82 / $1,950.00 / $2,838.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,210.33 / $1,253.32 / $1,451.95