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Montana rates for HCPCS 24931

Amputation Arm Thru Humerus W/Implant

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.65 / $1,303.94 / $4,869.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,480.65 / $1,480.65 / $1,480.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.91 / $1,287.38 / $1,480.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.60 / $917.00 / $1,418.07
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.12 / $1,395.65 / $1,936.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,208.14 / $1,508.07 / $1,706.81