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Montana rates for HCPCS G0175

Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.91 / $65.91 / $376.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.69 / $87.69 / $103.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.91 / $65.91 / $376.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.69 / $1,800,000.00 / $2,400,000.00