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Montana rates for HCPCS 29804

Arthroscopy, temporomandibular joint, surgical

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $933.25 / $933.25
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,047.13 / $1,318.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $933.25 / $1,288.25