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Montana rates for HCPCS 23400

Scapulopexy (eg, Sprengels deformity or for paralysis)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,037.48 / $1,363.32 / $5,082.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.96 / $1,547.96 / $1,547.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.86 / $1,547.96 / $1,630.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.17 / $1,053.48 / $1,547.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.24 / $1,547.96 / $2,023.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,319.76 / $1,572.48 / $1,797.12