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Montana rates for HCPCS 23100

Arthrotomy, glenohumeral joint, including biopsy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.87 / $717.51 / $2,648.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$816.57 / $816.57 / $816.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.45 / $816.57 / $837.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.03 / $556.91 / $816.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.13 / $815.27 / $1,058.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.53 / $812.00 / $1,247.00