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Montana rates for HCPCS 21355

Percutaneous Tx Malar Area Fracture

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.98 / $636.23 / $2,285.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.22 / $524.22 / $524.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.33 / $512.03 / $714.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.14 / $379.87 / $599.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.15 / $600.04 / $863.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.22 / $701.46 / $784.64