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Montana rates for HCPCS 21160

Rcnstj Midface Lefort Iii W/Fhd W/Lefort I

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,961.17 / $3,915.37 / $14,719.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,416.18 / $4,416.18 / $4,416.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,167.21 / $4,380.71 / $4,416.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,171.62 / $2,985.97 / $4,416.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,684.40 / $4,380.71 / $6,048.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,721.98 / $4,693.35 / $5,235.45