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Montana rates for HCPCS 21355

Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $467.74 / $1,122.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $489.78 / $707.95
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $724.44 / $812.83
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $724.44 / $812.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $501.19 / $812.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $524.81 / $891.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $588.84 / $794.33