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Montana rates for HCPCS Q4192

Restorigin, 1 cc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,480.00 / $2,480.00 / $2,480.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,112.50 / $3,112.50 / $3,112.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,988.00 / $2,988.00 / $2,250,000.00