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Montana rates for HCPCS 23921

Disrtcj Shoulder Secondary Clsr/Scar Revision

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.54 / $668.13 / $2,469.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.83 / $760.83 / $760.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.24 / $760.83 / $767.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$376.63 / $499.53 / $760.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.52 / $757.58 / $983.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.17 / $756.56 / $864.64