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Montana rates for HCPCS 21616

Excision 1st &/Cervical Rib W/Sympathectomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$772.05 / $957.14 / $3,635.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,121.01 / $1,121.01 / $1,121.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.04 / $1,121.01 / $1,230.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.26 / $759.35 / $1,246.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.56 / $1,121.01 / $1,523.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.31 / $1,201.19 / $1,431.68