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Montana rates for HCPCS 21740

Repair Pectus Excavatum/Carinatum Open

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,103.64 / $1,396.94 / $5,267.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,608.42 / $1,608.42 / $1,608.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,008.26 / $1,608.42 / $1,737.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$792.75 / $1,090.03 / $1,608.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$981.50 / $1,608.42 / $2,123.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,455.03 / $1,726.66 / $1,911.06