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Montana rates for HCPCS 41805

Rmvl Embedded Fb From Dentalvlr Struxs Soft Tiss

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.40 / $240.18 / $1,028.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.31 / $277.31 / $436.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.12 / $308.12 / $308.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.13 / $308.12 / $654.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.26 / $245.95 / $442.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.39 / $458.12 / $786.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.96 / $456.31 / $633.62