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Noncovered Clinical Trial Procedure, No or Local Anesthesia

Montana rates for HCPCS G0294

Noncovered procedure(s) using either no anesthesia or local anesthesia only, in a Medicare qualifying clinical trial, per day

Rates data updated July 2026.

How much rates vary

Facilitymedian $105 · 10th to 90th $79 to $112Professionalmedian $85 · 10th to 90th $79 to $112
$100facility $105professional $85

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$104.71
Typical High
$112.20
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$104.71
Typical High
$112.20
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$85.11