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Montana rates for HCPCS 41821

Operculectomy, excision pericoronal tissues

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $56.23 / $109.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $77.62 / $229.09
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $95.50 / $109.65
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $95.50 / $109.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $75.86 / $117.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $79.43 / $123.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $89.13 / $112.20