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Montana rates for HCPCS 21454

Open treatment of mandibular fracture with external fixation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.38 / $698.11 / $2,723.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.45 / $773.45 / $773.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.63 / $773.45 / $964.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $534.94 / $783.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.93 / $771.60 / $1,049.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.46 / $864.35 / $966.89