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Montana rates for HCPCS 23490

Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; clavicle

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.39 / $1,207.82 / $4,506.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,372.34 / $1,372.34 / $1,372.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.65 / $1,372.34 / $1,447.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.42 / $934.21 / $1,372.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.16 / $1,372.34 / $1,792.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,138.83 / $1,393.28 / $1,995.00