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Montana rates for HCPCS G0463

Hospital outpatient clinic visit for assessment and management of a patient

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.40 / $89.43 / $270.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.01 / $82.00 / $129.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68,099.99 / $68,099.99 / $81,499.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.00 / $801.00 / $801.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.12 / $87.12 / $125.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.02 / $87.35 / $116.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.12 / $2,250,000.00 / $2,400,000.00