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Montana rates for HCPCS 41822

Excision of fibrous tuberosities, dentoalveolar structures

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $338.84 / $691.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $316.23 / $316.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $346.74 / $812.83
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $478.63 / $630.96
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $478.63 / $630.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $354.81 / $676.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $446.68 / $891.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $398.11 / $630.96