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Montana rates for HCPCS 21480

Closed Tx Temporomandibular Dislocation 1st/Sbsq

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
$48.90 / $48.90 / $48.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.51 / $49.22 / $148.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.81 / $167.81 / $167.81