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Montana rates for HCPCS 21150

Rcnstj Midface Lefort Ii Anterior Intrusion

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,733.03 / $2,309.07 / $8,637.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,590.09 / $2,590.09 / $2,590.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,370.45 / $2,590.09 / $2,821.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,272.06 / $1,749.09 / $2,590.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,573.83 / $2,590.09 / $3,405.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,223.10 / $2,696.10 / $3,027.20