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Montana rates for HCPCS 21340

Percutaneous treatment of nasoethmoid complex fracture, with splint, wire or headcap fixation, including repair of canthal ligaments and/or the nasolacrimal apparatus

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.24 / $1,044.35 / $3,899.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,195.67 / $1,195.67 / $1,195.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.07 / $1,195.67 / $1,335.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.09 / $811.37 / $1,195.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.11 / $1,195.67 / $1,558.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.34 / $1,237.14 / $1,365.11