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Montana rates for RC 0204

Intensive Care - Psychiatric

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,166.00 / $2,166.00 / $2,166.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,200.00 / $2,200.00 / $2,200.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,200.00 / $2,200.00 / $2,200.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $1,066.00 / $1,168.00