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Montana rates for HCPCS 21406

Open treatment of fracture of orbit, except blowout; without implant

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.91 / $617.17 / $3,066.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$926.99 / $926.99 / $926.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.44 / $926.99 / $956.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.83 / $610.13 / $926.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.29 / $926.99 / $1,212.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.88 / $937.44 / $1,208.28