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Montana rates for HCPCS 31755

Tracheoplasty Tracheopharyngeal Fstlj Ea Stg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,921.90 / $9,175.45 / $9,175.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,735.74 / $2,735.74 / $2,735.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,817.80 / $2,735.74 / $2,869.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,340.30 / $2,898.35 / $3,200.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,679.94 / $2,520.16 / $3,635.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,557.89 / $2,904.73 / $4,830.34