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Montana rates for HCPCS 21445

Open treatment of mandibular or maxillary alveolar ridge fracture (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.14 / $732.66 / $1,277.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.38 / $893.44 / $1,300.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.72 / $1,058.66 / $1,562.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,109.54 / $1,243.20 / $1,407.03