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Montana rates for HCPCS 23172

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $776.25 / $1,513.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $776.25 / $954.99
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,000.00 / $1,174.90
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,000.00 / $1,174.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $794.33 / $1,096.48
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $776.25 / $1,174.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $933.25 / $1,071.52