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Montana rates for HCPCS 21338

Open Tx Nasoethmoid Fx W/O External Fixation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.33 / $968.19 / $3,491.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,064.22 / $1,064.22 / $1,064.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.69 / $1,064.22 / $1,257.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.74 / $721.51 / $1,064.22
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.91 / $1,064.22 / $1,454.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$955.74 / $1,105.66 / $1,252.23