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Montana rates for HCPCS G0372

Physician service required to establish and document the need for a power mobility device

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.14 / $8.74 / $11.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $13.67 / $13.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.67 / $13.67 / $13.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.74 / $9.94 / $13.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.21 / $13.44 / $22.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $14.02 / $22.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.76 / $15.33 / $19.20