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Montana rates for HCPCS Q4168

AmnioBand, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.64 / $14.15 / $14.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.05 / $17.05 / $19.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.05 / $17.05 / $19.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.64 / $17.05 / $17.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.05 / $18.50 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.05 / $17.05 / $17.05