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Montana rates for HCPCS 42665

Ligation salivary duct, intraoral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.25 / $343.21 / $1,849.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.08 / $348.08 / $348.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.71 / $350.89 / $783.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.01 / $318.05 / $581.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.48 / $524.38 / $956.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.90 / $530.33 / $687.40