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Montana rates for HCPCS Q4247

AmnioText EX SHEE 1 CM X 1 CM

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,944.00 / $3,054.40 / $3,054.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$605.00 / $605.00 / $3,128.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.00 / $3,128.00 / $3,128.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.00 / $530.00 / $2,944.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.00 / $625.00 / $3,128.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,200.00 / $3,200.00 / $3,200.00