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Montana rates for HCPCS 41850

Destruction Lesion Dentoalveolar Structures

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.48 / $115.78 / $132.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.02 / $194.02 / $194.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.39 / $181.77 / $360.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.08 / $165.94 / $229.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.45 / $178.59 / $273.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.24 / $203.57 / $253.34