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Montana rates for HCPCS 21031

Excision of torus mandibularis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.49 / $394.01 / $1,502.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.16 / $431.16 / $605.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.10 / $431.16 / $663.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.58 / $504.63 / $764.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.14 / $628.65 / $711.68