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Montana rates for HCPCS 31087

Sinusot Frnt Nonoblit W/Ostpl Flap Coronal Inc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,250.19 / $5,761.41 / $5,761.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.26 / $1,778.26 / $1,778.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,184.89 / $1,778.26 / $1,796.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.34 / $1,863.55 / $2,016.41
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,087.28 / $1,631.09 / $2,352.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,625.52 / $1,844.34 / $3,134.83