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Montana rates for HCPCS 23630

Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,762.47 / $7,762.47 / $7,762.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,258.93 / $1,258.93
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,348.96 / $1,621.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,071.52 / $1,548.82