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Montana rates for HCPCS 23921

Disarticulation of shoulder; secondary closure or scar revision

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $616.60 / $1,230.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $616.60 / $776.25
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $831.76 / $977.24
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $831.76 / $977.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $602.56 / $912.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $645.65 / $977.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $758.58 / $891.25