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Montana rates for HCPCS 21138

Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.75 / $1,283.65 / $4,840.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.42 / $1,445.42 / $1,445.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.56 / $1,445.42 / $1,472.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.01 / $985.89 / $1,445.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.07 / $1,445.42 / $1,893.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,248.79 / $1,487.92 / $1,690.26