go back

Montana rates for HCPCS 21031

Excision of torus mandibularis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $398.11 / $954.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $407.38 / $602.56
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $645.65 / $691.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $501.19 / $776.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $512.86 / $707.95