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Montana rates for HCPCS 27158

Osteotomy, pelvis, bilateral (eg, congenital malformation)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,491.01 / $1,950.15 / $7,305.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,213.62 / $2,213.62 / $2,213.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,168.48 / $2,213.62 / $2,361.76
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,095.51 / $1,506.33 / $2,213.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,341.23 / $2,213.62 / $2,902.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,903.96 / $2,309.07 / $2,712.60