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Montana rates for HCPCS 21046

Excision of benign tumor or cyst of mandible; requiring intra-oral osteotomy (eg, locally aggressive or destructive lesion[s])

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.51 / $1,043.79 / $1,584.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,554.79 / $1,554.79 / $1,554.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.17 / $1,554.79 / $1,888.01
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$769.78 / $1,058.45 / $1,554.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.88 / $1,554.79 / $2,128.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,442.29 / $1,744.05 / $1,924.47