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Montana rates for HCPCS 21366

Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including zygomatic arch and malar tripod; with bone grafting (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,352.06 / $1,786.84 / $6,732.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,012.76 / $2,012.76 / $2,012.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,017.66 / $1,943.30 / $2,012.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$997.18 / $1,371.12 / $2,012.76
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,222.18 / $1,943.30 / $2,644.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,740.41 / $2,073.67 / $2,346.96