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Montana rates for HCPCS Q4171

Interfyl, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $11.00 / $11.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.84 / $13.84 / $13.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.09 / $13.84 / $13.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.09 / $13.84 / $14.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.95 / $10.95 / $14.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.09 / $10.09 / $10.09