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Montana rates for HCPCS 21630

Radical Resection Sternum

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,391.22 / $1,647.60 / $6,295.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,073.23 / $2,073.23 / $2,073.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.70 / $2,017.21 / $2,073.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,027.40 / $1,412.18 / $2,073.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,257.44 / $2,017.21 / $2,720.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,719.22 / $2,030.58 / $2,309.98