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Montana rates for HCPCS 23397

Muscle Transfer Shoulder/Upper Arm Multiple

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.75 / $1,211.93 / $5,962.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,811.38 / $1,811.38 / $1,811.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.62 / $1,811.38 / $1,919.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$893.17 / $1,228.10 / $1,811.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.49 / $1,811.38 / $2,361.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,550.53 / $1,880.43 / $2,111.36