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Montana rates for HCPCS 31613

Tracheostoma revision; simple, without flap rotation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,128.61 / $5,128.61 / $5,128.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $676.08 / $676.08
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $758.58 / $912.01
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $660.69 / $776.25