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Montana rates for HCPCS Q4189

Artacent AC, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $21.38 / $21.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.38 / $21.38
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $24.55 / $37.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $79.43 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.38 / $21.38