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Montana rates for HCPCS 61586

Bicoronal Transzygmtc&/Lefort I W/O Bone Grft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,128.55 / $2,582.21 / $12,668.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,037.62 / $4,037.62 / $4,037.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,296.62 / $4,037.62 / $4,143.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,969.80 / $4,037.62 / $4,262.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,471.54 / $3,707.69 / $5,348.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,205.36 / $4,131.33 / $7,099.36