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Montana rates for HCPCS 19342

Insj/Rplcmt Breast Implant Sep Day Mastectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$9,511.50 / $9,511.50 / $9,511.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,205.66 / $1,205.66 / $1,205.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.97 / $1,567.15 / $1,706.49