go back

Montana rates for HCPCS 31390

Pharyngolaryngectomy W/Rad Neck Dsj W/O Rcnstj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,107.96 / $14,846.80 / $14,846.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,407.78 / $4,407.78 / $4,407.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,920.65 / $4,407.78 / $4,759.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,163.71 / $4,865.89 / $5,260.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.52 / $4,037.70 / $5,824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,817.87 / $4,791.04 / $7,761.65