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Montana rates for HCPCS P9020

Platelet Rich Plasma Each Unit (Special Coverage Instructions Apply. See Mcm: 2455 B)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.71 / $291.25 / $311.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.04 / $116.04 / $116.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.71 / $242.71 / $373.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.04 / $1,800,000.00 / $2,400,000.00