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Montana rates for HCPCS 21603

Excision Ch Wal Tum W/Rib W/Medstnl Lymphadec

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,809.14 / $2,383.14 / $9,100.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,644.77 / $2,644.77 / $2,644.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,449.13 / $2,352.32 / $2,644.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.19 / $1,412.11 / $2,644.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,619.44 / $2,429.41 / $3,550.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,586.71 / $2,941.75 / $3,246.07