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Montana rates for HCPCS 61564

Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); with optic nerve decompression

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $3,090.30 / $5,888.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $3,890.45 / $3,890.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $3,890.45 / $4,168.69
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,168.69 / $4,677.35
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $4,168.69 / $4,677.35
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.76 / $3,235.94 / $4,073.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $2,511.89 / $5,011.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $4,073.80 / $6,025.60