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Montana rates for HCPCS 41155

Glossectomy; composite procedure with resection floor of mouth, mandibular resection, and radical neck dissection (Commando type)

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $4,677.35 / $4,677.35
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $5,128.61 / $5,754.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $3,981.07 / $7,413.10