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Montana rates for HCPCS 21249

Rcnstj Mandible/Maxl Endosteal Implant Complete

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,154.72 / $1,961.80 / $7,479.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.48 / $1,742.50 / $2,570.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.67 / $1,918.88 / $2,728.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,944.11 / $2,338.37 / $2,570.88