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Montana rates for HCPCS Q4213

Ascent, 0.5 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $57.54 / $67.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $69.18 / $100.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $79.43 / $87.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $69.18 / $69.18