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Montana rates for HCPCS 21208

Osteoplasty Facial Bones Augmentation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.18 / $2,523.12 / $9,258.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.61 / $1,420.08 / $2,967.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.27 / $1,616.61 / $3,349.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,322.03 / $2,874.49 / $3,118.08