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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
$608.48 / $806.07 / $2,983.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.05 / $918.05 / $918.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.58 / $918.05 / $948.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$454.84 / $625.41 / $918.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.60 / $917.72 / $1,191.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.83 / $917.12 / $1,047.68