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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
$851.14 / $1,202.26 / $2,290.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,174.90 / $1,445.44
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $1,479.11 / $1,778.28
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,479.11 / $1,778.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,230.27 / $1,659.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,174.90 / $1,778.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,412.54 / $1,621.81