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Montana rates for HCPCS 31613

Tracheostoma Revj Smpl W/O Flap Rotation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,103.00 / $5,103.00 / $5,103.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$673.02 / $673.02 / $673.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.20 / $756.60 / $832.37