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Montana rates for HCPCS 24164

Prosthesis Removal Radial Head

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,954.10 / $8,954.10 / $8,954.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.39 / $1,159.39 / $1,159.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.40 / $698.55 / $902.58