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Montana rates for HCPCS 31225

Maxillectomy; without orbital exenteration

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,843.00 / $2,843.00 / $2,843.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,397.02 / $3,175.90 / $3,440.80