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Montana rates for HCPCS 42890

Limited pharyngectomy

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,231.50 / $2,231.50 / $2,231.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,136.46 / $1,823.52 / $2,631.83