go back

Montana rates for HCPCS 21750

Closure of median sternotomy separation with or without debridement (separate procedure)

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,061.58 / $1,061.58 / $1,061.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.78 / $720.20 / $1,061.58