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Montana rates for HCPCS L3390

Outflare wedge

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.97 / $168.16 / $168.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.01 / $59.01 / $59.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.99 / $63.45 / $63.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.99 / $63.45 / $63.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.75 / $60.43 / $63.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.99 / $47.62 / $63.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.07 / $26.63 / $40.74