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Montana rates for HCPCS 21270

Malar augmentation, prosthetic material

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,047.13 / $2,570.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,071.52 / $1,621.81
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,621.81 / $1,819.70
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,621.81 / $1,819.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,202.26 / $1,737.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,202.26 / $2,041.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,380.38 / $1,862.09