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Montana rates for HCPCS 21141

Rcnstj Midface Lefort I 1 Piece W/O Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.50 / $1,393.50 / $60,284.70
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
$2,090.06 / $2,090.06 / $2,090.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,090.06 / $2,090.06 / $2,090.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.82 / $2,090.06 / $2,268.64
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,035.50 / $1,423.82 / $2,090.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.00 / $2,090.06 / $2,752.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.62 / $2,200.23 / $3,307.57