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Montana rates for HCPCS 01634

Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; shoulder disarticulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $45.71 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $630.96 / $1,071.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $50.12 / $3,311.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $588.84 / $776.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $60.26 / $81.28