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Montana rates for HCPCS 21040

Excision of benign tumor or cyst of mandible, by enucleation and/or curettage

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.54 / $487.91 / $2,079.35
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
$572.07 / $572.07 / $731.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.07 / $572.07 / $572.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.56 / $572.07 / $876.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.92 / $422.90 / $682.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.99 / $675.54 / $959.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.09 / $572.09 / $6,486.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.46 / $822.44 / $907.52