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Montana rates for HCPCS 27091

Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of spacer

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,515.42 / $2,515.42 / $2,515.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,245.22 / $1,712.18 / $2,515.42