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Montana rates for HCPCS 21121

Genioplasty Sliding Osteotomy Single Piece

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.94 / $690.97 / $3,060.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$836.02 / $836.02 / $836.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.37 / $836.02 / $1,290.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.02 / $621.82 / $1,063.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.47 / $911.39 / $1,336.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$985.31 / $1,146.96 / $1,345.02