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Montana rates for HCPCS 31230

Maxillectomy W/Orbital Exenteration

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,232.21 / $10,590.70 / $10,590.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,171.63 / $3,171.63 / $3,171.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,178.25 / $3,171.63 / $3,455.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,557.86 / $3,554.85 / $3,839.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,932.59 / $2,899.18 / $4,181.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,789.19 / $3,415.51 / $5,579.60