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Montana rates for HCPCS 23900

Interthoracoscapular amputation (forequarter)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,905.46 / $3,630.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,905.46 / $2,344.23
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $2,398.83 / $2,570.40
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $2,398.83 / $2,570.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,949.84 / $2,818.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,905.46 / $2,818.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $2,290.87 / $2,630.27