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Montana rates for HCPCS 24115

Excision or curettage of bone cyst or benign tumor, humerus; with autograft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,023.29 / $1,949.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,000.00 / $1,230.27
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $1,288.25 / $1,513.56
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,288.25 / $1,513.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,047.13 / $1,513.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $1,000.00 / $1,513.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,202.26 / $1,412.54