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Montana rates for HCPCS L8612

Aqueous shunt

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.30 / $2,755.01 / $2,755.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.71 / $847.71 / $847.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.71 / $847.71 / $847.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$406.87 / $807.34 / $847.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.71 / $636.25 / $883.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.06 / $364.09 / $561.04