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Montana rates for HCPCS 24802

Arthrodesis Elbow Joint W/Autogenous Graft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,070.04 / $1,404.38 / $5,238.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,594.75 / $1,594.75 / $1,594.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.06 / $1,594.75 / $1,681.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.18 / $1,086.49 / $1,594.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.35 / $1,594.75 / $2,086.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,360.64 / $1,644.29 / $1,910.69