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Montana rates for HCPCS 40844

Vestibuloplasty Entire Arch

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,244.36 / $6,225.25 / $7,918.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,861.33 / $1,861.33 / $1,861.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,444.27 / $1,861.33 / $2,383.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.20 / $2,328.94 / $2,573.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,219.74 / $1,861.33 / $2,607.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,018.18 / $2,576.41 / $4,185.63