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Montana rates for HCPCS 21452

Percutaneous treatment of mandibular fracture, with external fixation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.43 / $1,146.30 / $3,858.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$722.45 / $722.45 / $722.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.45 / $650.21 / $1,072.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.24 / $554.92 / $785.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.49 / $876.98 / $1,435.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$862.46 / $1,126.71 / $1,730.31