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Montana rates for HCPCS 21345

Closed Tx Nasomaxillary Complex Fracture

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.78 / $747.59 / $3,294.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.05 / $1,020.05 / $1,020.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.99 / $941.35 / $1,286.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.83 / $709.43 / $1,115.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.85 / $1,056.88 / $1,631.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.38 / $1,282.05 / $1,431.67