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Montana rates for HCPCS 21248

Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,258.93 / $2,511.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,548.82 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,202.26 / $1,548.82
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,659.59 / $1,905.46
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,318.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,513.56 / $1,862.09