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Montana rates for HCPCS 21244

Reconstruction of mandible, extraoral, with transosteal bone plate (eg, mandibular staple bone plate)

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,588.97 / $1,588.97 / $1,588.97
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$781.76 / $1,074.92 / $1,588.97