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Montana rates for HCPCS 41823

Excision of osseous tuberosities, dentoalveolar structures

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $512.86 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $588.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $524.81 / $1,479.11
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $707.95 / $933.25
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $707.95 / $933.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $562.34 / $1,023.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $758.58 / $1,348.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $660.69 / $954.99