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Montana rates for HCPCS 21030

Exc Benign Tumor/Cyst Maxl/Zygoma Encl & Curtg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.62 / $483.80 / $756.24
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
$569.97 / $569.97 / $569.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.61 / $569.97 / $871.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.88 / $435.75 / $677.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.82 / $665.83 / $946.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.29 / $816.06 / $900.48