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Montana rates for HCPCS 21461

Open treatment of mandibular fracture; without interdental fixation

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,678.35 / $1,678.35 / $1,678.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.45 / $1,371.79 / $2,520.12