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Montana rates for HCPCS 23920

Disarticulation Shoulder

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.89 / $1,570.17 / $5,871.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,784.57 / $1,784.57 / $1,784.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.46 / $1,784.57 / $1,894.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$883.63 / $1,195.93 / $1,784.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.26 / $1,784.57 / $2,331.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.10 / $1,403.10 / $1,403.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,526.09 / $1,836.15 / $2,078.08