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Montana rates for HCPCS L8514

Tracheoesophageal Puncture Dilator Replacement Only Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.42 / $320.56 / $320.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.38 / $120.84 / $120.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.38 / $120.84 / $120.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.70 / $115.09 / $120.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.38 / $90.69 / $120.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.86 / $50.74 / $78.18