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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
$176.46 / $326.83 / $1,856.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$319.69 / $319.69 / $319.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.01 / $342.91 / $731.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.91 / $305.49 / $526.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.86 / $496.98 / $903.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.40 / $573.04 / $990.67