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Montana rates for HCPCS 21199

Osteotomy Mandible Sgmtl W/Genioglossus Advmnt

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.59 / $1,450.77 / $5,515.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,593.70 / $1,593.70 / $1,593.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.22 / $1,593.70 / $1,686.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.13 / $1,087.80 / $1,593.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$969.53 / $1,593.70 / $2,171.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,404.36 / $1,703.16 / $1,912.32