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Montana rates for HCPCS G0429

Dermal filler injection(s) for the treatment of facial lipodystrophy syndrome (LDS) (e.g., as a result of highly active antiretroviral therapy)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $85.11 / $162.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $120.23 / $162.18
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $165.96 / $190.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $107.15 / $186.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $128.82 / $173.78