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Montana rates for HCPCS 23900

Interthoracoscapular amputation (forequarter)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,475.22 / $1,930.19 / $7,231.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,192.06 / $2,192.06 / $2,192.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,147.15 / $2,192.06 / $2,336.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,084.94 / $1,491.80 / $2,192.06
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,327.32 / $2,192.06 / $2,872.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,884.22 / $2,264.31 / $2,641.32