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Montana rates for HCPCS Q4049

Finger splint, static

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.59 / $13.59 / $13.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $7.96 / $8.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.57 / $2.57 / $2.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.76 / $2.76 / $2.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.08 / $2.76 / $2.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $2.63 / $23.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.06 / $2.06 / $3.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.12 / $1.28