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Montana rates for HCPCS 24134

Sequestrectomy (eg, for osteomyelitis or bone abscess), shaft or distal humerus

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$798.08 / $1,052.00 / $3,915.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,196.20 / $1,196.20 / $1,196.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,196.20 / $1,196.20 / $1,196.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.54 / $1,196.20 / $1,254.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.20 / $815.65 / $1,196.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.43 / $1,196.20 / $1,558.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.78 / $1,245.83 / $1,855.02