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Montana rates for HCPCS 21198

Osteotomy Mandible Segmental

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,086.27 / $1,521.43 / $5,870.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,587.92 / $1,587.92 / $1,587.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,587.92 / $1,587.92 / $1,587.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.99 / $1,587.92 / $1,955.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$786.69 / $1,081.70 / $1,645.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.88 / $1,587.92 / $2,203.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,497.41 / $1,847.87 / $2,739.95