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Montana rates for HCPCS 21462

Open Tx Mandibular Fx W/Interdental Fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,371.18 / $9,371.18 / $9,371.18
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
$1,829.78 / $1,829.78 / $1,829.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$898.15 / $1,497.46 / $2,733.43