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Montana rates for HCPCS 20697

Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic computer-assisted adjustment (eg, spatial frame), including imaging; exchange (ie, removal and replacement) of strut, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,736.16 / $2,939.92 / $11,197.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,792.00 / $2,792.00 / $2,792.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,305.66 / $2,792.00 / $3,490.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,313.51 / $1,671.74 / $3,116.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,754.29 / $2,792.00 / $3,959.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,119.04 / $3,237.35 / $3,663.99