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Montana rates for HCPCS 21360

Open Tx Depressed Malar Fracture

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.87 / $727.72 / $2,691.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$837.60 / $837.60 / $837.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.57 / $837.60 / $900.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.66 / $567.41 / $837.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.45 / $834.14 / $1,087.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.08 / $849.12 / $936.95