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Montana rates for HCPCS 41821

Oprculectomy Exc Pricoronal Tissue

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.53 / $52.31 / $59.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.28 / $87.28 / $87.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.85 / $81.65 / $164.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.80 / $75.06 / $103.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.06 / $80.31 / $122.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.97 / $92.22 / $119.22