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Montana rates for HCPCS 21248

Rcnstj Mandible/Maxl Endosteal Implant Partial

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.54 / $1,452.41 / $5,482.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,248.25 / $1,248.25 / $1,546.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.97 / $1,248.25 / $1,854.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.28 / $1,409.80 / $2,013.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,410.65 / $1,706.60 / $1,878.40