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Montana rates for HCPCS 61586

Bicoronal, transzygomatic and/or LeFort I osteotomy approach to anterior cranial fossa with or without internal fixation, without bone graft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $3,311.31 / $6,606.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,073.80 / $4,073.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $4,073.80 / $4,168.69
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,466.84 / $4,897.79
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $4,466.84 / $4,897.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $3,548.13 / $4,265.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $2,454.71 / $5,370.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $4,073.80 / $6,165.95