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Montana rates for HCPCS Q4177

FlowerAmnioFlo, 0.1 cc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.00 / $149.40 / $149.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.00 / $153.00 / $153.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $153.00 / $153.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.00 / $180.00 / $225.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $216.00 / $1,800,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.00 / $180.00 / $180.00