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Montana rates for HCPCS 23170

Sequestrectomy (eg, for osteomyelitis or bone abscess), clavicle

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.34 / $798.39 / $2,953.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$909.11 / $909.11 / $909.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.77 / $909.11 / $938.77
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.20 / $614.72 / $909.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.10 / $908.55 / $1,179.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.10 / $907.20 / $1,026.75