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Montana rates for HCPCS L8613

Ossicula Implant (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $0.90 / $0.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.85 / $1,022.68 / $1,022.68
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
$274.27 / $324.05 / $324.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.52 / $324.05 / $324.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.06 / $308.62 / $324.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.22 / $274.27 / $343.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.16 / $153.97 / $244.19