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Montana rates for HCPCS 21740

Reconstructive repair of pectus excavatum or carinatum; open

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,380.38 / $2,511.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,445.44 / $1,737.80
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $1,778.28 / $2,041.74
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $1,778.28 / $2,041.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,584.89 / $2,290.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,412.54 / $2,089.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,698.24 / $1,949.84