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Montana rates for HCPCS 42205

Palatoplasty W/Clsr Alveolar Ridge Soft Tissue

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.81 / $966.08 / $5,180.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,522.19 / $1,522.19 / $1,522.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.10 / $1,356.53 / $2,441.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$940.81 / $1,346.69 / $1,775.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.78 / $1,543.19 / $2,571.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,335.74 / $1,591.52 / $2,131.03