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Montana rates for HCPCS 21315

Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.12 / $1,698.12 / $2,288.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.69 / $237.90 / $418.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.00 / $94.12 / $241.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.12 / $94.12 / $94.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.71 / $217.68 / $456.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.74 / $127.50 / $349.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.00 / $188.32 / $372.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.60 / $436.80 / $494.36