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Montana rates for HCPCS 21346

Open treatment of nasomaxillary complex fracture (LeFort II type); with wiring and/or local fixation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.23 / $1,451.97 / $5,075.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,615.78 / $1,615.78 / $1,615.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.19 / $1,494.22 / $1,615.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$784.43 / $1,049.65 / $1,615.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$994.12 / $1,494.22 / $2,151.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,287.80 / $1,534.40 / $1,736.62