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Montana rates for HCPCS 21025

Excision of bone (eg, for osteomyelitis or bone abscess); mandible

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.81 / $836.94 / $1,306.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.82 / $1,045.82 / $1,254.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,045.82 / $1,045.82 / $1,045.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.65 / $1,045.82 / $1,490.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.17 / $784.61 / $1,236.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.51 / $1,132.69 / $1,623.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,111.55 / $1,388.34 / $2,033.90