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Montana rates for HCPCS 21139

Rdctj Fhd Cntrg & Setback Ant Frontal Sinus Wall

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.25 / $1,156.67 / $5,857.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,719.37 / $1,719.37 / $1,719.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.63 / $1,719.37 / $1,882.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.57 / $1,169.53 / $1,719.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.49 / $1,719.37 / $2,266.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,453.79 / $1,764.39 / $2,033.22