go back

Montana rates for HCPCS 21742

Repair Pectus Excavatm/Carinatm Minly W/O Thrsc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,285.59 / $1,692.14 / $1,692.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,916.02 / $1,916.02 / $1,916.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.78 / $1,916.02 / $2,013.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$951.39 / $1,189.24 / $1,916.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,158.78 / $1,738.34 / $2,507.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,431.07 / $1,914.00 / $2,205.62